title: Combined use of adult fiberoptic bronchoscope and CARTO catheter for tracheal intubation in children with known difficult airway.
abstract: OBJECTIVE
  To find an alternative device to solve the difficult airway in children.
  
  
  METHODS
  Fifteen patients, all ASA I-II, aged from 1.5 to 9 years, who were undergoing elective surgeries were included. Difficult endotracheal intubation, but not difficult ventilation, was possible for all. The adult fiberoptic bronchoscope (FOB) was used to provide a vision of the glottis, and the CARTO catheter (a cardiac interventional catheter) with adjustable tip was used to induce the endotracheal tube.
  
  
  RESULTS
  All patients were successfully intubated within 1-2 min at the first attempt.
  
  
  CONCLUSIONS
  Combined use of adult FOB and CARTO catheter may be an alternative device for tracheal intubation in children with known difficult airway.
authors.affiliation: Department of Anesthesiology, First Affiliated Hospital, Zhengzhou University, 1 Jianshedong Road, Zhengzhou 450052, Henan, China.
authors.forename: QinJun
authors.initials: Q
authors.lastname: Chu
authors.forename: ZhongCi
authors.initials: Z
authors.lastname: Dou
authors.forename: GuangLun
authors.initials: G
authors.lastname: Xie
authors.forename: AiMin
authors.initials: A
authors.lastname: Yang
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
mesh_terms: D000402:Airway Obstruction / Q000503:physiopathology; D020680:Bronchoscopes; D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D005260:Female; D005336:Fiber Optic Technology / Q000295:instrumentation*; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D008297:Male