Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines

Disma, Nicola; Asai, Takashi; Cools, Evelien; Cronin, Alexandria; Engelhardt, Thomas; Fiadjoe, John; Fuchs, Alexander; Garcia-Marcinkiewicz, Annery; Habre, Walid; Heath, Chloe; Johansen, Mathias; Kaufmann, Jost; Kleine-Brueggeney, Maren; Kovatsis, Pete G.; Kranke, Peter; Lusardi, Andrea C.; Matava, Clyde; Peyton, James; Riva, Thomas; Romero, Carolina S.; von Ungern-Sternberg, Britta; Veyckemans, Francis; Afshari, Arash; Srinivasan, Ilavajady; Correia, Michelle; Nghiem, Jessica; Chowdhury, Apala R.; Marchesini, Vanessa; Bonfiglio, Rachele; Bastianello, Matilde

doi:10.1016/j.bja.2023.08.040

Cited by 23 publications

(4 citation statements)

References 159 publications

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“…Recently, the European Society of Anaesthesiology and Intensive Care (ESAIC) and the British Journal of Anaesthesia (BJA) jointly published a new guideline on airway management in neonates and infants. 64 The ESAIC and BJA guideline identifies seven key areas of focus for airway management in neonates and infants: preoperative assessment and preparation, medications, techniques and algorithms, identification and treatment of difficult airways, confirmation of tracheal intubation, tracheal extubation, and human factors. The recommendations were formulated using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) methodology, assigning strong '1′ or weak '2′ recommendations with high 'A', medium 'B', or low 'C' quality of evidence.…”

Section: New Guidelines From the European Society Of Anaesthesiology ...mentioning

confidence: 99%

Recommendations from the Brazilian Society of Anesthesiology (SBA) for difficult airway management in pediatric care

Lima,

Cumino,

Vieira

et al. 2024

Brazilian Journal of Anesthesiology (English Edition)

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Section: New Guidelines From the European Society Of Anaesthesiology ...mentioning

confidence: 99%

Recommendations from the Brazilian Society of Anesthesiology (SBA) for difficult airway management in pediatric care

Lima,

Cumino,

Vieira

et al. 2024

Brazilian Journal of Anesthesiology (English Edition)

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“…Emergency airway management in the newborn should first consider positioning of the neonate, the indications for nasopharyngeal airway include increased airway difficulties during feeding (most common), obstruction when handled or obstruction not alleviated by positioning. Emergency endotracheal intubation for acute obstruction is rare, and long-term airway issues require tracheostomy [ 6 ].…”

Section: Airwaymentioning

confidence: 99%

Multidisciplinary Care for Moebius Syndrome and Related Disorders: Building a Management Protocol

Odedra,

Blumenow,

Dainty

et al. 2024

JCM

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Moebius syndrome is a collection of orofacial anomalies with highly variable features affecting many different systems but characterised by bilateral facial palsy and absent eye abduction. We largely regard Moebius syndrome as a diagnosis of exclusion. Lack of awareness and knowledge means that children often fall between services, leading to treatment delays and difficulty interfacing with social care and schools, with long-term impact on physical health and psychosocial development. We developed a multidisciplinary team comprising core clinicians (lead physician, geneticist, speech and language therapist, psychologist and specialist nurse) and an expanded group to encompass the other affected systems. The interactions between our specialties lead to the development of a treatment protocol, which we present. The protocol harnesses the aspects of care of children with a range of other rare diseases at a specialised paediatric centre and synthesises them into a holistic approach for MBS and related conditions. Management is sequenced on an “ABC-style” basis, with airway, feeding, vision and speech taking priority in the early years. We define management priorities as airway stabilisation with swallow assessment, ocular surface protection and maintenance of nutritional support. Management principles for issues such as speech, reflux, drooling and sleep issues are outlined. In later years, psychological support has a prominent role geared towards monitoring and interventions for low mood, self-esteem and bullying.

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“…Dazu sind verschiedene Methoden mit unterschiedlichen Flussraten des Sauerstoffzustroms sowie unterschiedlichen Applikationswegen möglich. Nach aktuellem Kenntnisstand besteht kein bedeutsamer Unterschied, wie und mit welchen Flussraten der Sauerstoff während der Laryngoskopie zur endotrachealen Intubation verabreicht wurde [ 8 , 9 ]. Grundsätzlich erhöht eine apnoische Oxygenierung nach Beendigung der Maskenbeatmung während der endotrachealen Intubation die Rate an erfolgreichen Intubationen beim ersten Versuch, verlängert die sichere Apnoezeit und senkt die Inzidenz von Hypoxämien [ 14 , 38 ].…”

Section: Endotracheale Intubation Beim Normalen Atemwegunclassified

“…Die gefunden Referenzen wurden in formierten Unterarbeitsgruppen von jeweils vier Autoren aus der Expertengruppe unabhängig voneinander auf ihre Relevanz hin überprüft und bei unterschiedlicher Bewertung durch einen weiteren gewichtet. Für weitere Einzelheiten zu den Suchergebnissen, zur systematischen Wertung und Gewichtung der Arbeiten sowie der daraus abgeleiteten wissenschaftlichen Stärke der Empfehlungen (Evidenzgrad) und das Erreichen eines formalen Konsenses verweisen wir auf die Originalpublikation [ 8 , 9 ].…”

Section: Introductionunclassified

Airway management in neonates and infants

Kaufmann,

Huber,

Engelhardt

et al. 2024

Anaesthesiologie

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ZusammenfassungDie Sicherung der Atemwege ermöglicht die Oxygenierung und Ventilation der Lungen und stellt eine potenziell lebensrettende medizinische Maßnahme dar. Insbesondere bei Neugeborenen und Säuglingen kommt es gehäuft zu unerwünschten und kritischen Ereignissen während des Atemwegsmanagements. Die multifaktoriellen Gründe dafür umfassen patientenabhängige, anwenderabhängige, aber auch externe Faktoren. Im Folgenden wird die neu erschienene internationale Leitlinie zur Atemwegssicherung bei Neugeborenen und Säuglingen fokussierend auf die klinische Anwendung zusammengefasst. Während die Originalpublikation der Leitlinie darauf fokussiert, auf Basis der systematisch erfassten Evidenz formale Empfehlungen zu benennen, stellt diese Zusammenfassung v. a. die Praktikabilität ihrer Umsetzung in den Fokus.

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Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines

Cited by 23 publications

References 159 publications

Recommendations from the Brazilian Society of Anesthesiology (SBA) for difficult airway management in pediatric care

Recommendations from the Brazilian Society of Anesthesiology (SBA) for difficult airway management in pediatric care

Multidisciplinary Care for Moebius Syndrome and Related Disorders: Building a Management Protocol

Airway management in neonates and infants

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