TY - CHAP M1 - Book, Section TI - Advanced Airway Techniques A1 - Olomu, Patrick N. A1 - Kiss, Edgar E. A1 - Khan, Asif A2 - Ellinas, Herodotos A2 - Matthes, Kai A2 - Alrayashi, Walid A2 - Bilge, Aykut PY - 2021 T2 - Clinical Pediatric Anesthesiology AB - FOCUS POINTSKnowledge of proper supraglottic airway insertion techniques, tests for position and performance, and maneuvers to correct malpositions are critical to successful use and the prevention of complications.Video laryngoscopy provides better views of the glottis compared to direct laryngoscopy, although intubation times may be prolonged. Skill acquisition in elective cases before use in complex difficult airway situations is recommended. Corrective maneuvers in the “Can see, can’t intubate” situation must be learned.Difficult airway management in pediatric patients is associated with a high incidence of severe complications. Risk factors for complications are: greater than two laryngoscopy attempts, direct laryngoscopy persistence (direct laryngoscopy for first three attempts), and weight under 10 kg.Supplemental oxygenation during pediatric difficult airway management is an important intervention that may reduce the incidence of severe complications.Fiberoptic intubation in the small infant is challenging and requires great attention to every detail. Practicing this technique in elective normal airways is likely to result in greater rate of successful intubation when faced with a difficult airway.Adequate preparation and planning decreases the need for surgical airway access. Use of a small angiocatheter technique is the preferred initial approach for front of neck access in children 1 to 8 years of age.Simple airway maneuvers such as two-handed mask ventilation and adjunctive airway devices are critical in management of the difficult pediatric airway. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/10/15 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1176459102 ER -