title: Lightwand guided intubation in paediatric patients with a known difficult airway: a report of four cases.
abstract: The anaesthetic management of children with craniofacial abnormalities often presents unique challenges because soft tissue and bony abnormalities can affect the airway and influence airway management. We report four paediatric patients with predicted difficult airways due to craniofacial abnormalities. They all had a laryngeal view of Cormack-Lehane grade IV and were impossible to intubate using direct laryngoscopy. Fibreoptic intubation was also repeatedly attempted but was not successful. All the tracheal intubations were completed using a lightwand on the first attempt in less than 30 s. We consider that lightwand guided intubation technique may be a useful alternative approach to fibreoptic intubation technique in managing the difficult paediatric airway.
authors.affiliation: Department of Anaesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China. fruitxue@yahoo.com.cn
authors.forename: F S
authors.initials: FS
authors.lastname: Xue
authors.forename: Q Y
authors.initials: QY
authors.lastname: Yang
authors.forename: X
authors.initials: X
authors.lastname: Liao
authors.forename: N
authors.initials: N
authors.lastname: He
authors.forename: H P
authors.initials: HP
authors.lastname: Liu
mesh_terms: D000769:Anesthesia, Inhalation; D002648:Child; D019465:Craniofacial Abnormalities / Q000150:complications* / Q000601:surgery; D004867:Equipment Design; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D007828:Laryngoscopy; D008297:Male