A simple homemade lighted stylet for neonates and infants: a description and case report of its use in an infant with the Pierre Robin anomalad.
The glossoptosis and micrognathia associated with Pierre Robin anomalad can make tracheal intubation by conventional laryngoscopy quite difficult. Lighted stylets may be helpful in the successful intubation of infants with this anomalad, but those currently available that are small enough to accommodate 3.0 mm ID tracheal tubes have two major drawbacks limiting their utility: an insufficiently rigid stylet component and a nonadjustable, overly bright light. We describe a lighted stylet that can be easily assembled in the operating room which overcomes these problems and allowed us to successfully intubate a six-day-old with severe Pierre Robin anomalad.
Cook-Sather
S D
SD
Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, PA 19104-4399, USA.
Schreiner
M S
MS
D005260:Female; D005336:Fiber Optic Technology / Q000295:instrumentation*; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D008029:Lighting; D010855:Pierre Robin Syndrome / Q000601:surgery