title: Rigid nasendoscope with video camera system for intubation in infants with Pierre-Robin sequence.
abstract: We describe an alternative intubation technique using a rigid nasendoscope and a video camera monitor system in two infants with Pierre-Robin sequence presenting for palatoplasty. After induction with an inhalational anaesthetic technique, the tracheas of the infants could not be intubated with direct laryngoscopy using a Wisconsin blade. In the absence of a flexible paediatric fibrescope, a rigid endoscope (2.7 mm, 70 degrees lateral illumination) was passed orally to provide a view of the glottis on the monitor screen. A tracheal tube, bent into a J-shape using a stylet, was inserted orally and manipulated into the trachea, under video guidance. This technique proved to be simple, permitting a favourable view of the glottis. It should be considered for passing a tracheal tube through the vocal cords in infants who present with a difficult airway.
authors.affiliation: Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
authors.forename: M
authors.initials: M
authors.lastname: Ravishankar
authors.forename: P
authors.initials: P
authors.lastname: Kundra
authors.forename: K
authors.initials: K
authors.lastname: Agrawal
authors.forename: N S
authors.initials: NS
authors.lastname: Kutralam
authors.forename: N
authors.initials: N
authors.lastname: Arun
authors.forename: O P
authors.initials: OP
authors.lastname: Vijaykumar
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D010855:Pierre Robin Syndrome / Q000601:surgery*; D020535:Video-Assisted Surgery / Q000379:methods*