title: Evaluation of effectiveness of the using a pillow in children for dental rehabilitation under general anesthesia in term for facilitate intubation.
abstract: OBJECTIVE
  Airway safety may be provided with endotracheal intubation especially for oral procedures because of some potential risks such as aspiration of secretion or foreign bodies. In this study, we aimed to determine whether placing a pillow under the occiput may facilitate endotracheal intubation in non-cooperative children whose extensive dental treatments were planned to take place under general anesthesia.
  
  
  METHODS
  The study was performed in Erciyes University, Faculty of Dentistry between March-July 2014. A total 150 ASA I-II children, between 3-9 years were included in this study. Pillow was folded under the occiput in Group 1 (n=75), patients lay on a flat surface in Group 2 (n=75) during the anesthesia induction and intubation period.
  
  
  RESULTS
  There were no statistically significant differences between groups regarding the demographic data (age, weight, gender) (p>0.05). Operation times were similar in both groups (p=0.329). The number of intubation attempts was smilar in both groups (p=0.412). The intubation time was longer in group one than in group two (p= 0.025).
  
  
  CONCLUSIONS
  We concluded that, placing a pillow under the patients occiput provided longer intubation time without changing the number of attempts in the normal airway in non-cooperative children whose extensive dental treatments were planned to take place under general anesthesia.
authors.affiliation: Dilek Günay Canpolat, MD, Assistant Professor in Anesthesiology, Department of Oral and Maxillofacial Surgery, Erciyes University Faculty of Dentistry, Kayseri, Turkey.
authors.forename: Dilek Günay
authors.initials: DG
authors.lastname: Canpolat
authors.affiliation: Mustafa Denizhan Yıldırım, MD, Assistant Professor in Anesthesiology, Department of Pediatric Dentistry, Erciyes University Faculty of Dentistry, Kayseri, Turkey.
authors.forename: Mustafa Denizhan
authors.initials: MD
authors.lastname: Yıldırım
authors.affiliation: Kenan Cantekin, DDS, PhD, Assistant Professor, Department of Pediatric Dentistry, Erciyes University Faculty of Dentistry, Kayseri, Turkey.
authors.forename: Kenan
authors.initials: K
authors.lastname: Cantekin
authors.affiliation: Aynur Akin, MD Professor, Department of Anesthesiology, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Aynur
authors.initials: A
authors.lastname: Aki
keywords: Child; Intubation; Pillow