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[The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy]

Tarik Umutoglu1, Ahmet Hakan Gedik2, Mefkur Bakan1

  • 1Departamento de Anestesiologia e Reanimação, Faculdade de Medicina, Universidade Bezmialem Vakif, Istambul, Turquia.

Revista Brasileira De Anestesiologia
|August 23, 2015
PubMed

Insights

Head tilt chin lift and triple airway maneuvers significantly improve glottic view during pediatric flexible fiberoptic bronchoscopy, offering the best visualization for this procedure.

Area of Science:

  • Pediatric Pulmonology
  • Anesthesiology
  • Respiratory Medicine

Context:

  • Flexible fiber optic bronchoscopy is crucial for diagnosing and managing pediatric respiratory conditions.
  • Optimizing the glottic view is essential for successful and safe pediatric flexible fiber optic bronchoscopy.

Purpose:

  • To evaluate the effectiveness of various airway supporting maneuvers on glottic view during pediatric flexible fiber optic bronchoscopy.
  • To compare the efficacy of jaw thrust and head tilt/chin lift maneuvers in enhancing visualization.

Summary:

  • This randomized, controlled, crossover study assessed airway maneuvers in 121 pediatric patients (0-15 years).
  • Jaw thrust variations and head tilt/chin lift with triple airway maneuvers were compared to a neutral position.
  • Head tilt chin lift and triple airway maneuvers demonstrated superior glottic visualization compared to jaw thrust maneuvers and neutral position.

Impact:

  • Identifies optimal airway maneuvers to improve glottic visualization in pediatric flexible fiber optic bronchoscopy.
  • Provides evidence-based recommendations for enhancing procedural success and safety in pediatric airway management.
  • Contributes to improved diagnostic and therapeutic outcomes for infants and children with respiratory diseases.
Abstract

Keywords:
Airway maneuversElevação da mandíbulaFiberoptic bronchoscopyFibrobroncoscopiaGlottis viewJaw trustManobras das vias aéreasPediatriaPediatricsVisibilidade da glote

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