Neonatal Airway Management

Stricker, Paul A.; Fiadjoe, John E.; Litman, Ronald S.

doi:10.1007/978-1-4419-6041-2_5

Cited by 5 publications

(7 citation statements)

References 156 publications

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“…Using appropriate size UTT minimizes the risk of trauma to the airway in neonates [8]. For those b 1 year of age, the recommended UTT sizes are 2.5 mm ID for infants ≤ 1500 gm, 3.0 mm ID for those 1500 to 3500 gm and 3.5 mm ID for full-term neonates and those N 3500 gm [9]. In general, the size of CTT in children are 0.5 mm ID smaller than the corresponding ageappropriate size of UTT.…”

Section: Discussionmentioning

confidence: 99%

Use of cuffed tracheal tubes in neonates, infants and children: A practice survey of members of the Society of Pediatric Anesthesia

Sathyamoorthy

Lerman

Okhomina

et al. 2016

Journal of Clinical Anesthesia

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Section: Discussionmentioning

confidence: 99%

Use of cuffed tracheal tubes in neonates, infants and children: A practice survey of members of the Society of Pediatric Anesthesia

Sathyamoorthy

Lerman

Okhomina

et al. 2016

Journal of Clinical Anesthesia

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“…This manoeuver separates the tongue from the posterior wall of the pharynx, and eases ventilation. Fingers in the dominant hand 3, 4, and 5, form the letter E, and fingers 1 and 2 form the letter C. In most newborns the facial mask is enough to apply a peak inspiratory pressure under 15 cm H 2 O and a respiratory rate of 20 -40 per minute [4].…”

Section: Technique For Permeating the Newborn Airwaymentioning

confidence: 99%

Airway in the Newborn Patient

Hernández-Cortez¹

2016

JACCOA

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Expertise in neonatal airway management requires an understanding of early human anatomical development as well as set of clinical skills to provide safe mask ventilation and tracheal intubation in the extremely small-sized population of patients. Although problematic management of the pediatric airway including difficulties with mask ventilation or unsuccessful endotracheal intubation remains rare, it is one of the primary causes of perioperative morbidity and mortality.Airway management is key component in various clinical scenarios, including the operating room during the provision of anesthetic care, in the pediatric intensive care unit, in the emergency department or during resuscitative efforts. This article is divided into three sections, anatomy and fisiology of the neonatal upper airway. Standard neonatal airway management and algorithms for managing the anatomically abnormal neonatal airway. Airway in the Newborn Patient 2/7

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“…Upper airway reflexes are meant to protect against ingestion of foreign substances into the respiratory tract [10]. Neonates and young infants manifest this protection by central apnea accompanied by bradycardia, as well as upper airway obstruction, and laryngospasm [10]. Paired with increased oxygen consumption and greater minute ventilation relative to FRC, these heightened reflexes in the neonate compared to older children, can lead to catastrophic consequences when there is loss of an airway.…”

Section: Introductionmentioning

confidence: 99%

“…This requires instructors to remind novice trainees that in the neonate there is little distance between the mouth and the larynx. By approximately 3 years of age the larynx is at C4–C5 level compared to C2–C3 level in the infant [10]. A relatively narrow and short epiglottis that is angled into the lumen of the airway is also notable in the neonate, often difficult to displace anteriorly during direct laryngoscopy [11].…”

Section: Introductionmentioning

confidence: 99%

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Safe in the first attempt: teaching neonatal airway management

Garcia‐Marcinkiewicz

Matava

2022

Current Opinion in Anaesthesiology

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Purpose of reviewQuick and precise facemask ventilation and tracheal intubation are critical clinical skills in neonatal airway management. In addition, this vulnerable population requires a thorough understanding of developmental airway anatomy and respiratory physiology to manage and anticipate potential airway mishaps. Neonates have greater oxygen consumption, increased minute ventilation relative to functional residual capacity, and increased closing volumes compared to older children and adults. After a missed airway attempt, this combination can quickly lead to dire consequences, such as cardiac arrest. Keeping neonates safe throughout the first attempt of airway management is key.Recent findingsSeveral techniques and practices have evolved to improve neonatal airway management, including improvement in neonatal airway equipment, provision of passive oxygenation, and closer attention to the management of anesthetic depth. The role of nontechnical skills during airway management is receiving more recognition.SummaryEvery neonatal intubation should be considered a critical event. Below we discuss some of the challenges in neonatal airway management, including anatomical and physiological principles which must be understood to approach the airway. We then follow with a description of current evidence for best practices and training.

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Neonatal Airway Management

Cited by 5 publications

References 156 publications

Use of cuffed tracheal tubes in neonates, infants and children: A practice survey of members of the Society of Pediatric Anesthesia

Use of cuffed tracheal tubes in neonates, infants and children: A practice survey of members of the Society of Pediatric Anesthesia

Airway in the Newborn Patient

Safe in the first attempt: teaching neonatal airway management

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