Management of the paediatric airway: new developments

Brambrink, Ansgar M.; Meyer, Roland Richard

doi:10.1097/00001503-200206000-00009

Cited by 18 publications

(9 citation statements)

References 62 publications

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“…Historically, uncuffed ETTs were used in pediatric patients under 8 years, to achieve a larger internal diameter of the tube, reducing flow resistance [ 29 ], and to minimalize possible oedema formation due to cuff caused mucosal damage. Currently, it is well documented that the narrowest part of the airway at the level of cricoid cartilage is elliptical.…”

Section: Resultsmentioning

confidence: 99%

Controversies in Pediatric Perioperative Airways

Klučka

Štourač

Štoudek

et al. 2015

BioMed Research International

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Pediatric airway management is a challenge in routine anesthesia practice. Any airway-related complication due to improper procedure can have catastrophic consequences in pediatric patients. The authors reviewed the current relevant literature using the following data bases: Google Scholar, PubMed, Medline (OVID SP), and Dynamed, and the following keywords: Airway/s, Children, Pediatric, Difficult Airways, and Controversies. From a summary of the data, we identified several controversies: difficult airway prediction, difficult airway management, cuffed versus uncuffed endotracheal tubes for securing pediatric airways, rapid sequence induction (RSI), laryngeal mask versus endotracheal tube, and extubation timing. The data show that pediatric anesthesia practice in perioperative airway management is currently lacking the strong evidence-based medicine (EBM) data that is available for adult subpopulations. A number of procedural steps in airway management are derived only from adult populations. However, the objective is the same irrespective of patient age: proper securing of the airway and oxygenation of the patient.

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Section: Resultsmentioning

confidence: 99%

Controversies in Pediatric Perioperative Airways

Klučka

Štourač

Štoudek

et al. 2015

BioMed Research International

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“…However, we did not show that LT is useless or dangerous for children under 10‐year old. This device may become a tool in other circumstances, and the future role of the LT in children remains to be determined (19).…”

Section: Discussionmentioning

confidence: 99%

Randomized controlled trial comparing the laryngeal tube and the laryngeal mask in pediatric patients

Bortone

Ingelmo²,

Ninno

et al. 2005

Pediatric Anesthesia

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“…A difficult airway in pediatric patients presents a challenge to anesthetists. Inhalational induction is the technique of choice because it is often difficult to perform awake fiberoptic intubation and tracheostomy may not be well tolerated in uncooperative patients such as the one presented in this report (3). Inhalational induction is one of the recognized methods for the management of difficult airway.…”

Section: Figurementioning

confidence: 92%