title: Guidelines for elective pediatric fiberoptic intubation.
abstract: Fiberoptic intubation in pediatric patients is often required especially in difficult airways of syndromic patients i.e. Pierre Robin Syndrome. Small babies will desaturate very quickly if ventilation is interrupted mainly to high metabolic rate. We describe guidelines to perform a safe fiberoptic intubation while maintaining spontaneous breathing throughout the procedure. Steps requiring the use of propofol pump, fentanyl, glycopyrrolate, red rubber catheter, metal insuflation hook, afrin, lubricant and lidocaine spray are shown.
authors.affiliation: Department of Anesthesia, St. Jude Children's Research Hospital, USA. roland.kaddoum@stjude.org
authors.forename: Roland N
authors.initials: RN
authors.lastname: Kaddoum
authors.forename: Zulfiqar
authors.initials: Z
authors.lastname: Ahmed
authors.forename: Alan A
authors.initials: AA
authors.lastname: D'Augsutine
authors.forename: Maria M
authors.initials: MM
authors.lastname: Zestos
mesh_terms: D002648:Child; D005336:Fiber Optic Technology; D017408:Guidelines as Topic; D006801:Humans; D007223:Infant; D007441:Intubation, Gastrointestinal / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D010372:Pediatrics / Q000379:methods* / Q000592:standards