title: A new twist in the pediatric difficult airway.
abstract: Difficult intubation of a 2.4 kg ex premature, suspected Pierre Robin Sequence with upper airway obstruction causing respiratory failure. Multiple failed intubation attempts by an experienced pediatric anesthetist using described techniques and adjuncts. A description of a simple new maneuvre using a GlideScope and a stylet. By twisting the stylet into a spiral shape, the endotracheal tube was given improved maneuverability that allowed the intubator to place the endotracheal tube tip to the glottis opening. Then by rotating the tube in a clockwise direction it could be manipulated past the vocal cords into the trachea.
authors.affiliation: Anaesthesia Department, Guys and St Thomas' Hospital, London, UK.
authors.forename: Edwardina M M A
authors.initials: EM
authors.lastname: Lillie
authors.forename: Louise
authors.initials: L
authors.lastname: Harding
authors.forename: Mark
authors.initials: M
authors.lastname: Thomas
mesh_terms: D058109:Airway Management / Q000295:instrumentation* / Q000379:methods*; D000402:Airway Obstruction / Q000209:etiology; D006801:Humans; D007223:Infant; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods*; D020704:Laryngoscopes; D007828:Laryngoscopy / Q000379:methods; D008297:Male; D010855:Pierre Robin Syndrome / Q000503:physiopathology*; D012131:Respiratory Insufficiency / Q000628:therapy
keywords: NICU critical care; congenital anomalies airway; devices techniques airway; difficult airway; infant; laryngoscopes equipment