RT Book, Section
A1 Olomu, Patrick N.
A1 Kiss, Edgar E.
A1 Khan, Asif
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176459102
T1 Advanced Airway Techniques
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176459102
RD 2024/10/14
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.