Tracheal intubation with I-gel supraglottic device in pediatric patients

Zamudio, Mario; Giraldo-Salazar, Olga; Gaviria-Rivera, Elmer; Gómez-Castellanos, Guillermo; Rodríguez, C.; Ramírez, Santiago Medina; Latorre, Juan Luis Ramírez; Caviedes, Laura Herrera

doi:10.1097/cj9.0000000000000007

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2024

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“…Blind intubation attempt through i-gel® was unsuccessful. Zamudio et al demonstrated that blind intubation through i-gel® in pediatric patients was successful only in 23% of cases, while the success of intubation under fiberoptic guidance was 70% [4]. Fiberoptic bronchoscope-guided intubation is considered as the gold standard for securing a difficult airway [5] but it requires time for preparation.…”

Section: Discussionmentioning

confidence: 99%

Supraglottic device for circumventing bag-mask ventilation in giant lip hemangioma

Agrawal

Singh

Nair

2024

Indian J Case Reports

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Congenital hemangiomas are benign tumors of endothelium most often occurring as a solitary lesion with a predilection for the head- and-neck. This report presents a case of a giant friable hemangioma of the lower lip in a 1-month-old male child posted for excision of the lesion. Airway management was challenging as the size, site, and history of repeated local site bleeding made mask ventilation impossible. Bypassing mask ventilation, a supraglottic device (SGD) was directly inserted and adequate lung ventilation was ensured followed by C-MAC® video laryngoscope-guided intubation. Challenging extubation was also overcome by the use of a SGD. This case demonstrates how an airway with impossible bag and mask ventilation can be managed by securing the airway with SGD before intubation.

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Section: Discussionmentioning

confidence: 99%