Case report Management of the difficult pediatric airway with Shikani Optical Stylet
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چکیده
Introduction The Shikani Optical Stylet (SOS; Clarus Medical, Minneapolis MN, USA) is another tool to facilitate tracheal intubation. It combines the benefits of a lightwand and a fiberoptic bronchoscope (FOB). It consists of a malleable stainless steel fiberoptic stylet in a preformed ‘J’, a removable ‘no focus’ eyepiece, and either a portable battery-operated light source handle or a traditional AC-powered light source connected via a fiberoptic light cable. The SOS is lightweight, portable, sturdy, can be used by a single operator, and is considerably less expensive than a FOB. The pediatric version is 27 cm long and can accommodate a 2.5 mm inner diameter (I.D.) tracheal tube (TT) or larger (Figure 1). Tracheal intubation facilitated by the SOS has never been reported in the following disease states (Table 1). Case one
منابع مشابه
Management of the difficult pediatric airway with Shikani Optical Stylet.
The airways of children with many craniofacial and mandibulofacial malformations often present unique challenges to the anesthesiologists. We report the application of Shikani Optical Stylet (SOS) in facilitating the tracheal intubation of four children with history of difficult airway management. The SOS combines the benefits of the lightwand and fiberoptic bronchoscope.
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متن کاملReply to “Comparing Shikani Optical Stylet and Macintosh Laryngoscope for Orotracheal Intubation”
To the Editor: We thank Dr. Wang, et al.[1] for the comments in our article. With regard to the first comment point, we agreed with them that Cormack‐Lehane grades 3–4 with Macintosh laryngoscope should be defined as difficult laryngoscopy. The definition of difficult airway in our paper should be difficult laryngoscopy, not difficult airway.[1] The laryngeal classification (Macintosh 3–4 blade...
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