Complications of rigid laryngoscopy and tracheal intubation

摘要

We read with great interest the article of Lee JJ et al. that describes two complications of tracheal intubation in a ne-onate.We believe, however, that these two complications could have been avoided if the following precautions and techniques were used. (1) Tracheal intubation was achieved after three esophageal intubations. It was not mentioned if the esophageal intubation was done because of difficult airway or involved an endoscopist not experienced in neonatal intubation. If the case was difficult airway and the glottis was not seen, a supraglottic airway such as an Air-Q? #1.0 (Clearwater, FL) could have been immediately inserted to provide ventilation.