More maneuvers to facilitate endotracheal intubation using the Airtraq® laryngoscope in children with difficult airways

Surgical repair of the atresia auris congenita was performed successfully, and the tracheal tube was removed without adverse sequelae. The AOL provides a high-grade, indirect, close proximity view of the glottis without the need for alignment of the oral, pharyngeal, and laryngeal axes. The oropharyngeal airwayshaped blade allows laryngeal exposure with ease even in patients with difficult airways (1–5). In addition, the AOL has a guiding channel that directs the tracheal tube through the glottis; and hence, it facilitates tracheal tube insertion once the glottis is aligned with the center of the laryngeal inlet on the view field. The infant AOL accepts tracheal tube with an internal diameter between 2.5 and 3.5 mm; while the pediatric one accepts tube with an internal diameter between 3.5 and 5.5 mm. The pediatric AOL easily provided a full view of the glottic opening in our patient with Treacher Collins syndrome, in whom the Macintosh laryngoscopy failed to expose the glottis. Anesthesia resident completed tracheal intubation without difficulty within 40 s. The small-size AOL seems suitable for difficult airways in small children.