Cannot ventilate-cannot intubate an infant: surgical tracheotomy or transtracheal cannula?

Johansen, K; Holm-Knudsen, Rolf; Charabi, Birgitte; Kristensen, Michael Seltz; Rasmussen, Lars S.

doi:10.1111/j.1460-9592.2010.03417.x

Cited by 44 publications

(36 citation statements)

References 14 publications

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“…In a case series of elective percutaneous trans‐tracheal ventilation in younger children, three of twenty‐eight had significant complications . In a recent postmortem porcine model , surgical tracheostomy had a significantly higher success rate than cannula tracheotomy for lung insufflation.…”

Section: Discussionmentioning

confidence: 99%

The ‘Can't Intubate Can't Oxygenate’ scenario in Pediatric Anesthesia: a comparison of different devices for needle cricothyroidotomy

Stacey

Heard

Chapman

et al. 2012

Pediatric Anesthesia

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Cannula tracheotomy in a model comparable to the infant airway is difficult and not without complication. Cannulae of 14- and 18-gauge appear to offer similar performance. Successful aspiration is the key predictor of appropriate cannula placement. The Quicktrach Child was not used successfully in this model. Further work is required to compare possible management strategies for the CICO scenario.

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Section: Discussionmentioning

confidence: 99%

The ‘Can't Intubate Can't Oxygenate’ scenario in Pediatric Anesthesia: a comparison of different devices for needle cricothyroidotomy

Stacey

Heard

Chapman

et al. 2012

Pediatric Anesthesia

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“…In a previous study, we evaluated the success rate and time needed to insert an intravenous cannula (BD Venflon Pro, Becton Dickinson A/S, Franklin Lakes, NJ, USA) transtracheally, and we also determined the success rate and time used to perform an emergency tracheotomy in a model of 8-kg piglets. We found a success rate of only 27% for inserting the transtracheal cannula (TTC) within 2 min (15). The low success rate was surprising, and it was discussed, whether a dedicated jet device would have been a better choice.…”

Section: Introductionmentioning

confidence: 93%

Emergency airway access in children – transtracheal cannulas and tracheotomy assessed in a porcine model

Holm-Knudsen

Rasmussen

Charabi

et al. 2012

Pediatric Anesthesia

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“…have mentioned that cricothyroidotomy can be dangerous in children and a surgical tracheostomy is the method of choice. [222324] During tracheostomy, attempt should be made to maintain oxygenation by keeping the upper airway patent and continuously administering 100% oxygen.…”

Section: Emergency Surgical Airway Accessmentioning

confidence: 99%

All India Difficult Airway Association 2016 guidelines for the management of unanticipated difficult tracheal intubation in Paediatrics

et al. 2016

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The All India Difficult Airway Association guidelines for the management of the unanticipated difficult tracheal intubation in paediatrics are developed to provide a structured, stepwise approach to manage unanticipated difficulty during tracheal intubation in children between 1 and 12 years of age. The incidence of unanticipated difficult airway in normal children is relatively rare. The recommendations for the management of difficult airway in children are mostly derived from extrapolation of adult data because of non-availability of proven evidence on the management of difficult airway in children. Children have a narrow margin of safety and mismanagement of the difficult airway can lead to disastrous consequences. In our country, a systematic approach to airway management in children is lacking, thus having a guideline would be beneficial. This is a sincere effort to protocolise airway management in children, using the best available evidence and consensus opinion put together to make airway management for children as safe as possible in our country.

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Cannot ventilate-cannot intubate an infant: surgical tracheotomy or transtracheal cannula?

Abstract: Rasmussen. Cannot ventilate-cannot intubate an infant: Surgical tracheotomy or transtracheal cannula?.

Cited by 44 publications

References 14 publications

The ‘Can't Intubate Can't Oxygenate’ scenario in Pediatric Anesthesia: a comparison of different devices for needle cricothyroidotomy

The ‘Can't Intubate Can't Oxygenate’ scenario in Pediatric Anesthesia: a comparison of different devices for needle cricothyroidotomy

Emergency airway access in children – transtracheal cannulas and tracheotomy assessed in a porcine model

All India Difficult Airway Association 2016 guidelines for the management of unanticipated difficult tracheal intubation in Paediatrics

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