Current Concepts in the Management of the Difficult Pediatric Airway
Author:
Publisher
Springer Science and Business Media LLC
Subject
Anesthesiology and Pain Medicine
Link
http://link.springer.com/content/pdf/10.1007/s40140-019-00319-y.pdf
Reference89 articles.
1. •• Engelhardt T, Virag K, Veyckemans F, Habre W, Network AGotESoACT. Airway management in paediatric anaesthesia in Europe-insights from APRICOT (Anaesthesia Practice In Children Observational Trial): a prospective multicentre observational study in 261 hospitals in Europe. Br J Anaesth. 2018;121(1):66–75. https://doi.org/10.1016/j.bja.2018.04.013 Airway management practices vary widely across Europe. Multiple airway device insertion attempts and pre-existing respiratory risk factors increase the likelihood of critical respiratory events in children and require further stratification during preoperative assessment and planning. This study highlights areas where education, research, and training may improve perioperative care.
2. Valois-Gomez T, Oofuvong M, Auer G, Coffin D, Loetwiriyakul W, Correa JA. Incidence of difficult bag-mask ventilation in children: a prospective observational study. Paediatr Anaesth. 2013;23(10):920–6. https://doi.org/10.1111/pan.12144 .
3. Kheterpal S, Martin L, Shanks AM, Tremper KK. Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics. Anesthesiology. 2009;110(4):891–7. https://doi.org/10.1097/ALN.0b013e31819b5b87 .
4. Langeron O, Masso E, Huraux C, Guggiari M, Bianchi A, Coriat P, et al. Prediction of difficult mask ventilation. Anesthesiology. 2000;92(5):1229–36.
5. •• Fiadjoe JE, Nishisaki A, Jagannathan N, Hunyady AI, Greenberg RS, Reynolds PI, et al. Airway management complications in children with difficult tracheal intubation from the Pediatric Difficult Intubation (PeDI) registry: a prospective cohort analysis. Lancet Respir Med. 2016;4(1):37–48. https://doi.org/10.1016/S2213-2600(15)00508-1 More than two direct laryngoscopy attempts in children with difficult tracheal intubation are associated with a high failure rate and an increased incidence of severe complications. These results suggest that limiting the number of direct laryngoscopy attempts and quickly transitioning to an indirect technique when direct laryngoscopy fails would enhance patient safety.
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