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Improvement of laryngoscopic view by hand-assisted elevation and caudad traction of the shoulder during tracheal intubation in pediatric patients.


ABSTRACT: Pediatric patients have large heads and relatively small bodies, making it difficult to perform intubation even in the sniffing position. Therefore, this study was planned on the assumption that hand-assisted elevation and caudad traction of the shoulder (HA-ECTS) would compensate for the laryngoscopic view. In this observational study, 45 pediatric patients aged 0-36 months with an ASA physical status of I-III and scheduled for elective surgery under general anesthesia were enrolled. HA-ECTS was defined as hand-assisted personalized traction in the upper and caudad directions with both hands under the lower cervical area. The POGO (percentage of glottis opening) score, MO (mouth opening), and LHS (laryngoscopic handling score) were compared before and after HA-ECTS. The median [range] POGO score was 30[10-50]% and 60[15-80]% before and after HA-ECTS, respectively (median difference, 20; 95% confidence interval [CI] 10 to 25%; P?=?0.002). MO was 1.0[0.8-1.9] cm and 1.8[1.3-2.0] cm before and after HA-ECTS, respectively (median difference, 0.45?cm; 95% CI 0.25 to 0.60; P?

SUBMITTER: Ahn JH 

PROVIDER: S-EPMC6362231 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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Improvement of laryngoscopic view by hand-assisted elevation and caudad traction of the shoulder during tracheal intubation in pediatric patients.

Ahn Jin Hee JH   Kim Doyeon D   Gil Nam-Su NS   Son Yong Hun YH   Seong Bong Gyu BG   Jeong Ji Seon JS  

Scientific reports 20190204 1


Pediatric patients have large heads and relatively small bodies, making it difficult to perform intubation even in the sniffing position. Therefore, this study was planned on the assumption that hand-assisted elevation and caudad traction of the shoulder (HA-ECTS) would compensate for the laryngoscopic view. In this observational study, 45 pediatric patients aged 0-36 months with an ASA physical status of I-III and scheduled for elective surgery under general anesthesia were enrolled. HA-ECTS wa  ...[more]

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