Uso do broncoscópio flexível ultra-fino na intubaçäo de crianças portadoras da síndrome de Pierre Robin / Use of ultra-thin flexible bronchoscope for intubation of children with Pierre Robin syndrome

RESUMO

Background and objectives - Tracheal intubation of children with Pierre Robin Syndrome is often very difficulty. The purpose of this study was to test an "ultra-thin"flexible fiberoptic bronchoscope for intubation of children with Pierre Robin Syndrome. Methods - Twenty children with Pierre robin syndrome aged from 14 days to 1 year and 8 months were submitted to general anesthesia for fixation of the tongue to the lower lip os its release. The intubations were managed with an "ultra-thin" flexible fiberoptic bronchoscope with a diameter of 2.2 mm at the distal tip. Results - There were no failed prodecures and the average intubation time was 46.45 seconds. Two children had a transient reduction in oxygen saturation. Conclusions - It is concluded that the procedure as practiced by experienced anesthesiologists is a valuable instrument for intubation of children with Pierre Robin Syndrome