1306 Modern Aerosol Delivery Devices in Preterm Neonates

Abstract

Although children may dislike and/or resist oral and pharyngeal examination with a tongue depressor, they enjoy lollipops on sticks, eating with spoons, forks, and chopsticks, and brushing their teeth. Many reports have noted this apparent contradiction, since pediatric patients are often treated after toothbrushes or chopsticks penetrate the pharyngeal wall. Those critical reports suggested that it is important to consider psychological factors when examining the oral cavity and pharynx.We therefore developed a novel device to observe the inside of the mouth without using a flashlight, tongue depressor, or head mirror. Now we developed a new attachment to the AWS (special electrical fiberscopy for tracheal intubation through the mouth for anesthesia and emergency situations; PENTAX Co., Tokyo, Japan) for observations inside the oral cavity and pharynx. Our newly system is a useful tool not only for diagnostic examinations but also for treatment without causing discomfort or distress to patients and their families without gag-reflex.