RESPIRATION AND THE AIRWAY Comparison of the laryngoscopy views with the size 1 Miller and Macintosh laryngoscope blades lifting the epiglottis or the base of the tongue in infants and children <2 yr of age
نویسندگان
چکیده
Editor’s key points † There are few data comparing the Miller and Macintosh (MAC) laryngoscope blades in children aged ,2 yr. † In this study, similar views at laryngoscopy could be obtained with Miller and MAC size 1 blades. † The views with the Miller blade were similar when placed under the epiglottis or into the vallecula. † Views with the MAC blade were better when placed into the vallecula compared with under the epiglottis. Background. Miller laryngoscope blades are preferred for laryngoscopy in infants and children ,2 yr of age. Despite their long history, the laryngeal view with the Miller blade size 1 has never been compared with that with the Macintosh (MAC) blade in children. This prospective, singleblinded, randomized study was designed to compare the laryngeal views with the size 1 Miller and MAC blades in children ,2 yr.
منابع مشابه
بازنگری طبقهبندی راههوایی بهروش Cormack و Lehane با توجه ویژه بر یافتههای گرید ΙΙ
Background: The major responsibility of an anesthesiologist is to provide adequate respiration for the patient. The most vital element in providing functional respiration is the airway. No anesthetic is safe unless diligent efforts are devoted to maintaining an intact functional airway. Difficult intubation had been classified into four grades, according to the view obtainable at laryngoscopy b...
متن کاملBritish Journal of Anaesthesia Respiratory Obstruction Due to Impact1on of the Epiglottis in an Adult
Sir,—The article by Dr. Thomas on the above topic (Brit. J. Anaesth. (1964), 36, 314) prompts me to describe an interesting case I had some time ago. A male patient in his fifties was anaesthetized with thiopentone and paralyzed with suxamethonium. Laryngoscopy was performed using a Macintosh laryngoscope and a large broad epiglottis was visualized. When slight pressure was transmitted to the v...
متن کاملO18: In Hospital Management of Child with Road Trauma
Trauma is the most common cause of mortality and morbidity in pediatric population. Caring for the injured child requires special knowledge, precise management, and scrupulous attention to details. All clinicians who are responsible for the care of a pediatric trauma patient, including pediatricians, pediatric emergency room clinicians, and trauma surgeons, must be familiar with every tenet of ...
متن کاملPrevention of dental damage and improvement of difficult intubation using a paraglossal technique with a straight Miller blade.
Patients with diseased teeth, or those who are difficult to intubate, have a higher risk of dental injury during laryngoscopy. We report 3 cases of smooth endotracheal intubation using a paraglossal technique with a straight Miller blade in patients with poor dentition. Three patients with poor dentition were scheduled to undergo surgery under general anesthesia. All patients presented with ext...
متن کاملComparison of Anesthetic Techniques on Outcomes of Pediatric Rigid Bronchoscopy for Foreign Body Removal
Background Although both methods of spontaneous respiration and controlled ventilation during anesthesia are safe and effective for managing children with foreign body aspiration, there is no consensus from the literature as to which technique is optimal. This study aimed to determine the outcomes of anesthetic techniques in pediatric rigid bronchoscopy for foreign body removal. Materials and M...
متن کامل