The anaesthetic management of children with craniofacial abnormalities often presents unique challenges because soft tissue and bony abnormalities can affect the airway and influence airway management. We report four paediatric patients with predicted difficult airways due to craniofacial abnormalities. They all had a laryngeal view of Cormack-Lehane grade IV and were impossible to intubate using direct laryngoscopy. Fibreoptic intubation was also repeatedly attempted but was not successful. All the tracheal intubations were completed using a lightwand on the first attempt in less than 30 s. We consider that lightwand guided intubation technique may be a useful alternative approach to fibreoptic intubation technique in managing the difficult paediatric airway.

译文

颅面异常儿童的麻醉管理通常会带来独特的挑战,因为软组织和骨异常会影响气道并影响气道管理。我们报告了四名因颅面异常而预计气道困难的儿科患者。他们都具有Cormack-Lehane IV级的喉部视图,并且无法使用直接喉镜检查进行插管。也反复尝试过光纤插管,但未成功。在不到30 s的第一次尝试中,所有气管插管均使用lightwand完成。我们认为,在管理困难的儿科气道方面,lightwand引导的插管技术可能是光纤插管技术的有用替代方法。

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