| Proposal for the management of the unexpected difficult pediatric airway. | |
| | |
MedLine Citation:
|
PMID: 20337959 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The incidence of unanticipated difficult or failed airway in otherwise healthy children is rare, and routine airway management in pediatric patients is easy in experienced hands. However, difficulties with airway management in healthy children are not infrequent in nonpediatric anesthetists and are a main reason for pediatric anesthesia-related morbidity and mortality. Clear concepts and strategies are, therefore, required to maintain oxygenation and ventilation in children. Several complicated algorithms for the management of the unanticipated difficult adult and pediatric airway have been proposed, but a simple structured algorithm for the pediatric patient with unanticipated difficult airway is missing. This paper proposes a simple step-wise algorithm for the unexpected difficult pediatric airway based on an adult Difficult Airway Society (DAS) protocol, discusses the role of recently introduced airway devices, and suggests a content of a pediatric airway trolley. It is intended as an easy to memorize and a practical guide for the anesthetist only occasionally involved in pediatric anesthesia care as well as a call to stimulate discussion about the management of the unanticipated difficult pediatric airway. |
| | |
Authors:
|
Markus Weiss; Thomas Engelhardt |
Related Documents
:
|
21735389 - Withdrawn: written individualised management plans for asthma in children and adults. 19924419 - Should pediatric neurosurgeons still manage neurotrauma today? 15625909 - Management of the anophthalmic socket in pediatric patients. 18971079 - Topical benzocaine-induced methemoglobinemia in the pediatric population. 303099 - Antisomatogyral illusion. 8326619 - Pediatric urological manpower report. pediatric urological manpower committee of the am... 16041639 - Atrial flutter following placement of an umbilical venous catheter. 11834469 - Environmental medicine in germany--a review. 22519399 - Recent advances in the medicinal chemistry of aurones. |
Publication Detail:
|
Type: Journal Article Date: 2010-03-22 |
Journal Detail:
|
Title: Paediatric anaesthesia Volume: 20 ISSN: 1460-9592 ISO Abbreviation: Paediatr Anaesth Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-06-03 Completed Date: 2010-08-23 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9206575 Medline TA: Paediatr Anaesth Country: France |
Other Details:
|
Languages: eng Pagination: 454-64 Citation Subset: IM |
Affiliation:
|
Department of Anaesthesia, University Children's Hospital, Steinwiessstrasse 75, Zurich, Switzerland. markus.weiss@kispi.uzh.ch |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Algorithms* Anesthesia, Inhalation / methods* Child Humans Intubation, Intratracheal / methods* Laryngeal Masks Laryngoscopy Oxygen Inhalation Therapy Respiration, Artificial |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Fundamentals of neuronal apoptosis relevant to pediatric anesthesia.
Next Document: Properdin in childhood and its association with wheezing and atopy.