title: Management of Difficult Airway in a Failed Intubation with Videolaryngoscopy in an Infant Patient.
abstract: The videolaryngoscope is a useful alternative airway device for anaesthesia management of difficult airways. However videolaryngoscope intubation may fail due to lack of experience, incorrect application, inappropriate stylet, prior traumatic attempts, restricted cervical movement and limited oropharyngeal airspace. Using a stylet and correctly shaped endotracheal tube is important to facilitate tracheal intubation with the videolaryngoscope, especially in paediatric patients. However, anatomical difficulty in the placement of the laryngoscope blade, association with facial deformities such as micrognathia, having a short neck, cleft palate and being younger than 1 year increase the likelihood of a difficult airway. In this report, we present our approach to difficult airway management in a failed intubation with a videolaryngoscope in an infant undergoing cleft palate surgery.
authors.affiliation: Department of Anaesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Alparslan
authors.initials: A
authors.lastname: Kuş
authors.affiliation: Department of Anaesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Derya
authors.initials: D
authors.lastname: Berk
authors.affiliation: Department of Anaesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Gürkan
authors.affiliation: Department of Anaesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Mine
authors.initials: M
authors.lastname: Solak
authors.affiliation: Department of Anaesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Kamil
authors.initials: K
authors.lastname: Toker
keywords: Laryngoscopy; cleft palate; difficult airway; stylet