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Efficacy of a hybrid technique of simultaneous videolaryngoscopy with flexible bronchoscopy in children with difficult direct laryngoscopy in the Pediatric Difficult Intubation Registry

Children with difficult tracheal intubation are at increased risk of severe complications, including hypoxaemia and cardiac arrest. Increasing experience with the simultaneous use of videolaryngoscopy and flexible bronchoscopy (hybrid) in adults led us to hypothesise that this hybrid technique could be used safely and effectively in children under general anaesthesia.

Citation:
Stein ML, Sarmiento Argüello LA, Staffa SJ, ..... von Ungern-Sternberg BS, Sommerfield D, Hauser N, Hesselink E, et al. Airway management in the paediatric difficult intubation registry: a propensity score matched analysis of outcomes over time. eClinicalMedicine. 2024;69.

Keywords:
Difficult airway; flexible bronchoscope; hybrid technique; paediatric; videolaryngoscopy

Abstract:
Children with difficult tracheal intubation are at increased risk of severe complications, including hypoxaemia and cardiac arrest. Increasing experience with the simultaneous use of videolaryngoscopy and flexible bronchoscopy (hybrid) in adults led us to hypothesise that this hybrid technique could be used safely and effectively in children under general anaesthesia.