The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy
ABSTRACTINTRODUCTION: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 pedia...
Ausführliche Beschreibung
Autor*in: |
Tarik Umutoglu [verfasserIn] Ahmet Hakan Gedik [verfasserIn] Mefkur Bakan [verfasserIn] Ufuk Topuz [verfasserIn] Hayrettin Daskaya [verfasserIn] Erdogan Ozturk [verfasserIn] Erkan Cakir [verfasserIn] Ziya Salihoglu [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch ; Spanisch ; Portugiesisch |
Erschienen: |
2015 |
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Übergeordnetes Werk: |
In: Revista Brasileira de Anestesiologia - Sociedade Brasileira de Anestesiologia, 2004, 65(2015), 5, Seite 313-318 |
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Übergeordnetes Werk: |
volume:65 ; year:2015 ; number:5 ; pages:313-318 |
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DOI / URN: |
10.1016/j.bjane.2014.09.016 |
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Katalog-ID: |
DOAJ022205829 |
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10.1016/j.bjane.2014.09.016 doi (DE-627)DOAJ022205829 (DE-599)DOAJ0bf969f6f6ae4d30bca65a9b6d9e0eb6 DE-627 ger DE-627 rakwb eng spa por RD78.3-87.3 Tarik Umutoglu verfasserin aut The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTINTRODUCTION: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 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, jaw trust with teeth prottution, head tilt chin lift and triple airway maneuvers and best glottis scores were recorded.RESULTS:Total of 121 pediatric patients, 57 girls and 64 boys, were included in this study. Both jaw trust with open mouth and jaw trust with teeth prottution maneuvers improved the glottis view compared with neutral position (p < 0.05), but we did not observe any difference between jaw trust with open mouth and jaw trust with teeth prottution maneuvers (p < 0.05). Head tilt chin lift and triple airway maneuvers improved glottis view when compared with both jaw trust with open mouth and jaw trust with teeth prottution maneuvers and neutral position (p < 0.05); however we found no differences between head tilt chin lift and triple airway maneuvers (p < 0.05). Fibrobroncoscopia Pediatria Manobras das vias aéreas Elevação da mandíbula Visibilidade da glote Anesthesiology Ahmet Hakan Gedik verfasserin aut Mefkur Bakan verfasserin aut Ufuk Topuz verfasserin aut Hayrettin Daskaya verfasserin aut Erdogan Ozturk verfasserin aut Erkan Cakir verfasserin aut Ziya Salihoglu verfasserin aut In Revista Brasileira de Anestesiologia Sociedade Brasileira de Anestesiologia, 2004 65(2015), 5, Seite 313-318 (DE-627)372351166 (DE-600)2122083-9 1806907X nnns volume:65 year:2015 number:5 pages:313-318 https://doi.org/10.1016/j.bjane.2014.09.016 kostenfrei https://doaj.org/article/0bf969f6f6ae4d30bca65a9b6d9e0eb6 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000500313&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-907X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2015 5 313-318 |
spelling |
10.1016/j.bjane.2014.09.016 doi (DE-627)DOAJ022205829 (DE-599)DOAJ0bf969f6f6ae4d30bca65a9b6d9e0eb6 DE-627 ger DE-627 rakwb eng spa por RD78.3-87.3 Tarik Umutoglu verfasserin aut The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTINTRODUCTION: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 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, jaw trust with teeth prottution, head tilt chin lift and triple airway maneuvers and best glottis scores were recorded.RESULTS:Total of 121 pediatric patients, 57 girls and 64 boys, were included in this study. Both jaw trust with open mouth and jaw trust with teeth prottution maneuvers improved the glottis view compared with neutral position (p < 0.05), but we did not observe any difference between jaw trust with open mouth and jaw trust with teeth prottution maneuvers (p < 0.05). Head tilt chin lift and triple airway maneuvers improved glottis view when compared with both jaw trust with open mouth and jaw trust with teeth prottution maneuvers and neutral position (p < 0.05); however we found no differences between head tilt chin lift and triple airway maneuvers (p < 0.05). Fibrobroncoscopia Pediatria Manobras das vias aéreas Elevação da mandíbula Visibilidade da glote Anesthesiology Ahmet Hakan Gedik verfasserin aut Mefkur Bakan verfasserin aut Ufuk Topuz verfasserin aut Hayrettin Daskaya verfasserin aut Erdogan Ozturk verfasserin aut Erkan Cakir verfasserin aut Ziya Salihoglu verfasserin aut In Revista Brasileira de Anestesiologia Sociedade Brasileira de Anestesiologia, 2004 65(2015), 5, Seite 313-318 (DE-627)372351166 (DE-600)2122083-9 1806907X nnns volume:65 year:2015 number:5 pages:313-318 https://doi.org/10.1016/j.bjane.2014.09.016 kostenfrei https://doaj.org/article/0bf969f6f6ae4d30bca65a9b6d9e0eb6 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000500313&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-907X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2015 5 313-318 |
allfields_unstemmed |
10.1016/j.bjane.2014.09.016 doi (DE-627)DOAJ022205829 (DE-599)DOAJ0bf969f6f6ae4d30bca65a9b6d9e0eb6 DE-627 ger DE-627 rakwb eng spa por RD78.3-87.3 Tarik Umutoglu verfasserin aut The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTINTRODUCTION: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 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, jaw trust with teeth prottution, head tilt chin lift and triple airway maneuvers and best glottis scores were recorded.RESULTS:Total of 121 pediatric patients, 57 girls and 64 boys, were included in this study. Both jaw trust with open mouth and jaw trust with teeth prottution maneuvers improved the glottis view compared with neutral position (p < 0.05), but we did not observe any difference between jaw trust with open mouth and jaw trust with teeth prottution maneuvers (p < 0.05). Head tilt chin lift and triple airway maneuvers improved glottis view when compared with both jaw trust with open mouth and jaw trust with teeth prottution maneuvers and neutral position (p < 0.05); however we found no differences between head tilt chin lift and triple airway maneuvers (p < 0.05). Fibrobroncoscopia Pediatria Manobras das vias aéreas Elevação da mandíbula Visibilidade da glote Anesthesiology Ahmet Hakan Gedik verfasserin aut Mefkur Bakan verfasserin aut Ufuk Topuz verfasserin aut Hayrettin Daskaya verfasserin aut Erdogan Ozturk verfasserin aut Erkan Cakir verfasserin aut Ziya Salihoglu verfasserin aut In Revista Brasileira de Anestesiologia Sociedade Brasileira de Anestesiologia, 2004 65(2015), 5, Seite 313-318 (DE-627)372351166 (DE-600)2122083-9 1806907X nnns volume:65 year:2015 number:5 pages:313-318 https://doi.org/10.1016/j.bjane.2014.09.016 kostenfrei https://doaj.org/article/0bf969f6f6ae4d30bca65a9b6d9e0eb6 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000500313&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-907X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2015 5 313-318 |
allfieldsGer |
10.1016/j.bjane.2014.09.016 doi (DE-627)DOAJ022205829 (DE-599)DOAJ0bf969f6f6ae4d30bca65a9b6d9e0eb6 DE-627 ger DE-627 rakwb eng spa por RD78.3-87.3 Tarik Umutoglu verfasserin aut The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTINTRODUCTION: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 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, jaw trust with teeth prottution, head tilt chin lift and triple airway maneuvers and best glottis scores were recorded.RESULTS:Total of 121 pediatric patients, 57 girls and 64 boys, were included in this study. Both jaw trust with open mouth and jaw trust with teeth prottution maneuvers improved the glottis view compared with neutral position (p < 0.05), but we did not observe any difference between jaw trust with open mouth and jaw trust with teeth prottution maneuvers (p < 0.05). Head tilt chin lift and triple airway maneuvers improved glottis view when compared with both jaw trust with open mouth and jaw trust with teeth prottution maneuvers and neutral position (p < 0.05); however we found no differences between head tilt chin lift and triple airway maneuvers (p < 0.05). Fibrobroncoscopia Pediatria Manobras das vias aéreas Elevação da mandíbula Visibilidade da glote Anesthesiology Ahmet Hakan Gedik verfasserin aut Mefkur Bakan verfasserin aut Ufuk Topuz verfasserin aut Hayrettin Daskaya verfasserin aut Erdogan Ozturk verfasserin aut Erkan Cakir verfasserin aut Ziya Salihoglu verfasserin aut In Revista Brasileira de Anestesiologia Sociedade Brasileira de Anestesiologia, 2004 65(2015), 5, Seite 313-318 (DE-627)372351166 (DE-600)2122083-9 1806907X nnns volume:65 year:2015 number:5 pages:313-318 https://doi.org/10.1016/j.bjane.2014.09.016 kostenfrei https://doaj.org/article/0bf969f6f6ae4d30bca65a9b6d9e0eb6 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000500313&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-907X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2015 5 313-318 |
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10.1016/j.bjane.2014.09.016 doi (DE-627)DOAJ022205829 (DE-599)DOAJ0bf969f6f6ae4d30bca65a9b6d9e0eb6 DE-627 ger DE-627 rakwb eng spa por RD78.3-87.3 Tarik Umutoglu verfasserin aut The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTINTRODUCTION: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 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, jaw trust with teeth prottution, head tilt chin lift and triple airway maneuvers and best glottis scores were recorded.RESULTS:Total of 121 pediatric patients, 57 girls and 64 boys, were included in this study. Both jaw trust with open mouth and jaw trust with teeth prottution maneuvers improved the glottis view compared with neutral position (p < 0.05), but we did not observe any difference between jaw trust with open mouth and jaw trust with teeth prottution maneuvers (p < 0.05). Head tilt chin lift and triple airway maneuvers improved glottis view when compared with both jaw trust with open mouth and jaw trust with teeth prottution maneuvers and neutral position (p < 0.05); however we found no differences between head tilt chin lift and triple airway maneuvers (p < 0.05). Fibrobroncoscopia Pediatria Manobras das vias aéreas Elevação da mandíbula Visibilidade da glote Anesthesiology Ahmet Hakan Gedik verfasserin aut Mefkur Bakan verfasserin aut Ufuk Topuz verfasserin aut Hayrettin Daskaya verfasserin aut Erdogan Ozturk verfasserin aut Erkan Cakir verfasserin aut Ziya Salihoglu verfasserin aut In Revista Brasileira de Anestesiologia Sociedade Brasileira de Anestesiologia, 2004 65(2015), 5, Seite 313-318 (DE-627)372351166 (DE-600)2122083-9 1806907X nnns volume:65 year:2015 number:5 pages:313-318 https://doi.org/10.1016/j.bjane.2014.09.016 kostenfrei https://doaj.org/article/0bf969f6f6ae4d30bca65a9b6d9e0eb6 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000500313&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-907X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2015 5 313-318 |
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ABSTRACTINTRODUCTION: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 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, jaw trust with teeth prottution, head tilt chin lift and triple airway maneuvers and best glottis scores were recorded.RESULTS:Total of 121 pediatric patients, 57 girls and 64 boys, were included in this study. Both jaw trust with open mouth and jaw trust with teeth prottution maneuvers improved the glottis view compared with neutral position (p < 0.05), but we did not observe any difference between jaw trust with open mouth and jaw trust with teeth prottution maneuvers (p < 0.05). Head tilt chin lift and triple airway maneuvers improved glottis view when compared with both jaw trust with open mouth and jaw trust with teeth prottution maneuvers and neutral position (p < 0.05); however we found no differences between head tilt chin lift and triple airway maneuvers (p < 0.05). |
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ABSTRACTINTRODUCTION: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 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, jaw trust with teeth prottution, head tilt chin lift and triple airway maneuvers and best glottis scores were recorded.RESULTS:Total of 121 pediatric patients, 57 girls and 64 boys, were included in this study. Both jaw trust with open mouth and jaw trust with teeth prottution maneuvers improved the glottis view compared with neutral position (p < 0.05), but we did not observe any difference between jaw trust with open mouth and jaw trust with teeth prottution maneuvers (p < 0.05). Head tilt chin lift and triple airway maneuvers improved glottis view when compared with both jaw trust with open mouth and jaw trust with teeth prottution maneuvers and neutral position (p < 0.05); however we found no differences between head tilt chin lift and triple airway maneuvers (p < 0.05). |
abstract_unstemmed |
ABSTRACTINTRODUCTION: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 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, jaw trust with teeth prottution, head tilt chin lift and triple airway maneuvers and best glottis scores were recorded.RESULTS:Total of 121 pediatric patients, 57 girls and 64 boys, were included in this study. Both jaw trust with open mouth and jaw trust with teeth prottution maneuvers improved the glottis view compared with neutral position (p < 0.05), but we did not observe any difference between jaw trust with open mouth and jaw trust with teeth prottution maneuvers (p < 0.05). Head tilt chin lift and triple airway maneuvers improved glottis view when compared with both jaw trust with open mouth and jaw trust with teeth prottution maneuvers and neutral position (p < 0.05); however we found no differences between head tilt chin lift and triple airway maneuvers (p < 0.05). |
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The influence of airway supporting maneuvers on glottis view in pediatric fiberoptic bronchoscopy |
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https://doi.org/10.1016/j.bjane.2014.09.016 https://doaj.org/article/0bf969f6f6ae4d30bca65a9b6d9e0eb6 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000500313&lng=en&tlng=en https://doaj.org/toc/1806-907X |
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Ahmet Hakan Gedik Mefkur Bakan Ufuk Topuz Hayrettin Daskaya Erdogan Ozturk Erkan Cakir Ziya Salihoglu |
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