The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy.pdfVIP

Rev Bras Anestesiol. 2015;65(5):313--318 REVISTA BRASILEIRA DE ANESTESIOLOGIA Official Publication of the Brazilian Society of A.br SCIENTIFIC ARTICLE The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy Tarik Umutoglua,?, Ahmet Hakan Gedikb, Mefkur Bakana, Ufuk Topuza, Hayrettin Daskayaa, Erdogan Ozturka, Erkan Cakirb, Ziya Salihoglua a Department of Anesthesiology and Reanimation, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey b Department of Pediatric Pulmonary Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey Received 5 August 2014; accepted 17 September 2014 Available online 30 March 2015 KEYWORDS Fiberoptic bronchoscopy; Pediatrics; Airway maneuvers; Jaw trust; Glottis view Abstract Introduction: Flexible fiber optic bronchoscopy is a valuable intervention for evaluation and management of respiratory diseases in both infants, pediatric and adult patients. The aim of this study is to investigate the influence of the airway supporting maneuvers on glottis view during pediatric flexible fiberoptic bronchoscopy. Materials and methods: In this randomized, controlled, crossover study; patients aged between 0 and 15 years who underwent flexible fiberoptic bronchoscopy procedure having American Society of Anesthesiologists I--II risk score were included. Patients having risk of difficult intu- bation, intubated or patients with tracheostomy, and patients with reduced neck mobility or having cautions for neck mobility were excluded from this study. After obtaining best glottic view at the neutral position, patients were positioned jaw trust with open mouth, jaw trust with teeth prottution, head tilt chin lift and triple airway maneuvers and best glottis scores were recorded. Results: Total of 121 pediatri