scholarly journals Management of the Difficult Airway in the Pediatric Patient

2018 ◽  
Vol 07 (03) ◽  
pp. 115-125 ◽  
Author(s):  
Jason Bryant ◽  
Joseph Tobias ◽  
Senthil Krishna
Keyword(s):  
Difficult Airway ◽  
Difficult Airway Management ◽  
Successful Management ◽  
Pediatric Airway ◽  
Airway Control ◽  
Airway Assessment ◽  
Advanced Airway ◽  
Hands On ◽  
Airway Equipment ◽  
Management Techniques

AbstractLoss of airway control in children, if not resolved quickly, will lead to devastating consequences. Successful management of the pediatric difficult airway, both anticipated and unanticipated, is facilitated by preprocedure assessment and preparation. Accessibility of and continued hands-on training with modern airway instruments, familiarization with difficult airway guidelines, and collaboration with multidisciplinary airway teams can aid in the management of the difficult pediatric airway. This review outlines the importance of airway assessment and advanced airway equipment for children. It also discusses difficult airway management techniques and algorithms for the management and rescue of the pediatric difficult airway.

scholarly journals Design and Implementation of an Educational Program in Advanced Airway Management for Anesthesiology Residents

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Zana Borovcanin ◽  
Janine R. Shapiro
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Educational Program ◽  
Difficult Airway Management ◽  
Advanced Airway ◽  
Hands On ◽  
The Status ◽  
Management Techniques ◽  
Specific Number ◽  
And Training

Education and training in advanced airway management as part of an anesthesiology residency program is necessary to help residents attain the status of expert in difficult airway management. The Accreditation Council for Graduate Medical Education (ACGME) emphasizes that residents in anesthesiology must obtain significant experience with a broad spectrum of airway management techniques. However, there is no specific number required as a minimum clinical experience that should be obtained in order to ensure competency. We have developed a curriculum for a new Advanced Airway Techniques rotation. This rotation is supplemented with a hands-on Difficult Airway Workshop. We describe here this comprehensive advanced airway management educational program at our institution. Future studies will focus on determining if education in advanced airway management results in a decrease in airway related morbidity and mortality and overall better patients’ outcome during difficult airway management.

scholarly journals A CASE REPORT- A CASE OF RIGHT SIDED ABSENT MAXILLA WITH ANTICIPATED DIFFICULT AIRWAY POSTED FOR PERINEAL URETHROPLATY

2020 ◽  
pp. 1-2
Author(s):  
Tanya Elizabeth Cherian ◽  
M. Sathyasuba
Keyword(s):  
Case Report ◽  
Difficult Airway ◽  
Urethral Stricture ◽  
Postoperative Recovery ◽  
Morbidity And Mortality ◽  
Video Laryngoscopy ◽  
Effective Management ◽  
Airway Control ◽  
Perioperative Morbidity ◽  
Airway Assessment

The key to success in patients with difficult airway is effective airway assessment and meticulous planning. Making use of simple and time-tested equipment and modifying these methods accordingly enable successful airway control avoiding perioperative morbidity and mortality . We report a case of 75 year old male with posterior urethral stricture planned for perineal urethroplasty with anticipated difficult airway. The airway was managed using video laryngoscopy and the procedure was uneventful with good postoperative recovery. This case report insists on making use of other conventional methods in the effective management of an anticipated difficult airway during a pandemic.

scholarly journals The Availability of Advanced Airway Equipment and Experience with Videolaryngoscopy in the UK: Two UK Surveys

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Rachel L. Gill ◽  
Audrey S. Y. Jeffrey ◽  
Alistair F. McNarry ◽  
Geoffrey H. C. Liew
Keyword(s):  
Difficult Airway ◽  
High Frequency ◽  
Fibreoptic Intubation ◽  
Skill Levels ◽  
Teaching Competence ◽  
Equipment Availability ◽  
Fibreoptic Laryngoscopy ◽  
Advanced Airway ◽  
Airway Equipment ◽  
The Uk

Fibreoptic intubation, high frequency jet ventilation, and videolaryngoscopy form part of the Royal College of Anaesthetists compulsory higher airway training module. Curriculum delivery requires equipment availability and competent trainers. We sought to establish (1) availability of advanced airway equipment in UK hospitals (Survey I) and (2) if those interested in airway management (Difficult Airway Society (DAS) members) had access to videolaryngoscopes, their basic skill levels and teaching competence with these devices and if they believed that videolaryngoscopy was replacing conventional or fibreoptic laryngoscopy (Survey II). Data was obtained from 212 hospitals (73.1%) and 554 DAS members (27.6%). Most hospitals (202, 99%) owned a fiberscope, 119 (57.5%) had a videolaryngoscope, yet only 62 (29.5%) had high frequency jet ventilators. DAS members had variable access to videolaryngoscopes with Airtraq 319 (59.6%) and Glidescope 176 (32.9%) being the most common. More DAS members were happy to teach or use videolaryngoscopes in a difficult airway than those who had used them more than ten times. The majority rated Macintosh laryngoscopy as the most important airway skill. Members rated fibreoptic intubation and videolaryngoscopy skills equally. Our surveys demonstrate widespread availability of fibreoptic scopes, limited availability of videolaryngoscopes, and limited numbers of experienced videolaryngoscope tutors.

Difficult airway management for the anaesthetist

2019 ◽  
Vol 80 (8) ◽  
pp. 432-440 ◽  
Author(s):  
J Hews ◽  
K El-Boghdadly ◽  
I Ahmad
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Emergency Situation ◽  
Difficult Airway Management ◽  
Timely Manner ◽  
Management Techniques ◽  
Current Guidelines

This article reviews the key considerations when managing a patient with a difficult airway. The difficult airway may be anticipated from preassessment allowing time for investigations and preparation. Alternatively, the unanticipated difficult airway can present in an emergency situation, or unexpectedly during a routine anaesthetic. The main airway management techniques are discussed with a description of their advantages and limitations. Current guidelines are included that demonstrate how the techniques are incorporated into an overall strategy with a plan A–D when failure occurs. It is critical to progress through such an algorithm in a timely manner to prevent the onset of hypoxia.

scholarly journals Pediatric Trainees Managing a Difficult Airway: Comparison of Laryngeal Mask Airway, Direct, and Video-Assisted Laryngoscopy

OTO Open ◽  
2017 ◽  
Vol 1 (2) ◽  
pp. 2473974X1770791 ◽  
Author(s):  
Art Ambrosio ◽  
Kastley Marvin ◽  
Colleen Perez ◽  
Chelsie Byrnes ◽  
Cory Gaconnet ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Difficult Airway ◽  
Direct Laryngoscopy ◽  
Training Session ◽  
Laryngeal Mask ◽  
Normal Infant ◽  
Difficult Airway Management ◽  
Video Assisted ◽  
Advanced Airway

Objective Difficult airway management is a key skill required by all pediatric physicians, yet training on multiple modalities is lacking. The objective of this study was to compare the rate of, and time to, successful advanced infant airway placement with direct laryngoscopy, video-assisted laryngoscopy, and laryngeal mask airway (LMA) in a difficult airway simulator. This study is the first to compare the success with 3 methods for difficult airway management among pediatric trainees. Study Design Randomized crossover pilot study. Setting Tertiary academic medical center. Methods Twenty-two pediatric residents, interns, and medical students were tested. Participants were provided 1 training session by faculty using a normal infant manikin. Subjects then performed all 3 of the aforementioned advanced airway modalities in a randomized order on a difficult airway model of a Robin sequence. Success was defined as confirmed endotracheal intubation or correct LMA placement by the testing instructor in ≤120 seconds. Results Direct laryngoscopy demonstrated a significantly higher placement success rate (77.3%) than video-assisted laryngoscopy (36.4%, P = .0117) and LMA (31.8%, P = .0039). Video-assisted laryngoscopy required a significantly longer amount of time during successful intubations (84.8 seconds; 95% CI, 59.4-110.1) versus direct laryngoscopy (44.9 seconds; 95% CI, 33.8-55.9) and LMA placement (36.6 seconds; 95% CI, 24.7-48.4). Conclusions Pediatric trainees demonstrated significantly higher success using direct laryngoscopy in a difficult airway simulator model. However, given the potential lifesaving implications of advanced airway adjuncts, including video-assisted laryngoscopy and LMA placement, more extensive training on adjunctive airway management techniques may be useful for trainees.

scholarly journals EMS Today Conference. Maryland, USA 2 to 6 March 2010

2010 ◽  
Vol 8 (1) ◽  
Author(s):  
Malcolm Boyle ◽  
Bill Lord
Keyword(s):  
Critical Care ◽  
Haemodynamic Monitoring ◽  
Legal Environment ◽  
Airway Assessment ◽  
Core Content ◽  
Paediatric Care ◽  
Advanced Airway ◽  
Hands On ◽  
Care Course

This was the 28th EMS Today Conference and was preceded by numerous workshops in the two days prior. The workshops covered topics like; leadership, ALS core content refresher program, advanced airway course, hands on reality-based command training, understanding the legal environment for EMS leaders, ALS assessment, emergency paediatric care course, presentation tips and techniques, haemodynamic monitoring for the critical care transport provider, airway assessment for dummies, emergency ethics, critical care certification course, and flight and critical care paramedic examinations.

Advanced airway management

2019 ◽  
pp. 153-176
Author(s):  
Richard Craig
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Video Laryngoscope ◽  
Flexible Bronchoscope ◽  
Airway Assessment ◽  
Advanced Airway ◽  
Induction Of Anaesthesia ◽  
Structured Approach

Management of the difficult paediatric airway is described in this chapter. Airway assessment and a structured approach to planning for the anticipated difficult airway are the essence of the chapter. This includes a plan for induction of anaesthesia, a plan for laryngoscopy and intubation, and a plan for safe extubation. Detailed, step-by-step guides describing the techniques for intubation using a flexible bronchoscope, Macintosh-style video laryngoscope, and rigid optical stylet are provided. The conditions commonly associated with the difficult paediatric airway are classified according to the mechanism by which they cause difficulty.

Unanticipated Difficult Airway Management in a Trauma Partient with Severe Ankylosing Spondylitis

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Werner Held ◽  
Marie Fernando
Keyword(s):  
Ankylosing Spondylitis ◽  
Difficult Airway ◽  
Soft Skills ◽  
Difficult Airway Management ◽  
Appropriate Use ◽  
Successful Management ◽  
Trauma Victim ◽  
Surgical Tracheostomy ◽  
Airway Anatomy ◽  
Chronic Arthropathy

Ankylosing Spondylitis is a debilitating chronic arthropathy that affects multiple joints. Anaesthesiologists face significant challenges when dealing with the airway implications of this disease, especially when it is unanticipated that a difficult airway may be encountered. This case describes a 42-year-old trauma victim who required an emergency denitive trachea at his ward. Ankylosing Spondylitis and complex airway anatomy led to his intubation failure. He was eventually given an emergency surgical tracheostomy. The successful management of a difficult airway was possible thanks to the appropriate use of modern airway adjuncts as well as workplace soft skills.

Sign in / Sign up

Export Citation Format

Share Document