Abstract
Introduction and aim : The aim of this study is to investigate the influence of the airway supporting maneuvers on glottis view during pediatric flexible fiberoptic bronchoscopy(FOB).
Material and Method: In this randomised, controlled, crossover study; patients aged between 0-15 years who underwent FOB procedure having ASA I-II risk score were included. Patients having risk of difficult intubation, 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 (A), Jaw trust with teeth prottution (B) head tilt chin lift (C) and triple airway (D) manoeuvres and best glottic scores were recorded. Results: 57 girl total 121 pediatric patients were included in this study. Both A and B maneuvers improved the glottis view compared with neutral position (p<0,001), but we didn't found any difference between A and B maneuvers (p>0.05). C and D maneuvers improved glottis view when compared both A and B maneuvers and neutral position (p<0,001), however we found no differences between C and D maneuvers (p>0.05). Conclusion:All airway supporting maneuvers improved glottic view during pediatric FOB, however head tilt chin lift and triple airway maneuvers were found to be the most effective maneuvers.
- © 2014 ERS
