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How Much Does a Shoulder Roll (or Equivalent) Help Pediatric Intubation?

By Landon Jones, MD and Richard M. Cantor, MD, FAAP, FACEP | on March 17, 2020 | 0 Comment
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Conclusion

During endotracheal intubation in children, shoulder elevation to align the oral-pharyngeal and tracheal axes significantly improves visualization and time to intubation.

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ACEP Now: Vol 39 – No 03 – March 2020

References

  1. Koylu Gencay Z, Begec Z, Ozgul U, et al. The effect of placement of a support under the shoulders on laryngeal visualization with a C-MAC Miller video laryngoscope in children younger than 2 years of age. Paediatr Anaesth. 2019;29(8):814-820.
  2. Ahn JH, Kim D, Gil NS, et al. Improvement of laryngoscopic view by hand-assisted elevation and caudal traction of the shoulder during tracheal intubation in pediatric patients. Sci Rep. 2019;9(1):1174.

Pages: 1 2 | Single Page

Topics: IntubationPediatricsShoulder Roll

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About the Authors

Landon Jones, MD

Dr. Jones is associate professor and pediatric emergency medicine fellowship director at the University of Kentucky Department of Emergency Medicine & Pediatrics in Lexington, Kentucky.

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Richard M. Cantor, MD, FAAP, FACEP

Dr. Cantor is professor of emergency medicine and pediatrics, director of the pediatric emergency department, and medical director of the Central New York Regional Poison Control Center at Upstate Medical University in Syracuse, New York.

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