Pediatric Airway Fundamentals

2021 ◽  
pp. 3-16
Author(s):  
Aisha Sozzer ◽  
Jennifer Anderson
Keyword(s):  
Airway Management ◽  
Laryngeal Mask ◽  
Specialized Knowledge ◽  
Pediatric Airway ◽  
Endotracheal Tubes ◽  
Pediatric Anesthesiologist ◽  
And Training ◽  
Reference Feature

This chapter describes the important anatomic and physiologic differences between the child and adult pertinent to airway management. Equipment specific for pediatric airway management, including laryngoscopes, endotracheal tubes, and supraglottic airways, are described. It is critical that the pediatric anesthesiologist have specialized knowledge of and training for the pediatric airway as well as the correct equipment available for airway management. Many specialized options for airway management have become available in recent years, including Microcuff endotracheal tubes and new types of supraglottic airways. This chapter provides detailed step-by-step guidance on the basics of pediatric airway management. A useful reference feature included are charts on sizing of endotracheal tubes, laryngeal mask airways, the i-gel device, and the air-Q device.

Comprehensive Overview of Pediatric Airway Management

2019 ◽  
Author(s):  
Dale Woolridge ◽  
Lisa Goldberg ◽  
Garrett S. Pacheco
Keyword(s):  
Airway Management ◽  
Endotracheal Tube ◽  
Endotracheal Intubation ◽  
Emergency Physician ◽  
Laryngeal Mask ◽  
Volume Control ◽  
Comprehensive Overview ◽  
Insertion Depth ◽  
Pediatric Airway ◽  
Core Skill

Pediatric endotracheal intubation is a procedure that can be stress provoking to the emergency physician. Although the need for this core skill is rare, when confronted with this situation, the emergency physician must have knowledge of the anatomic, physiologic, and pathologic components unique to the pediatric airway to optimize success. Furthermore, the emergency physician should be well versed in the various equipment and adjuncts as well as techniques developed to effectively manage the pediatric airway. This review covers the pathophysiology and practice of endotracheal intubation. Figures show a gum elastic bougie; the Mallampati classification; appropriate oropharyngeal, laryngeal, and tracheal axes; advancing the laryngoscope to lift the epiglottis; endotracheal tube position in neonates; and synchronized intermittent mandatory ventilation pressure-regulated volume control mechanical ventilation. Tables list endotracheal tube sizes, neonatal endotracheal tube sizes, pediatric laryngeal mask airway sizes, commonly used induction agents, and endotracheal tube insertion depth guidelines. This review contains 6 figures, 8 tables, and 77 references. Key words: emergent tracheal intubation; endotracheal tube; laryngoscopy; pediatric airway; pediatric airway management; pediatric endotracheal intubation; pediatric laryngeal mask; video laryngoscopy

Comprehensive Overview of Pediatric Airway Management

2019 ◽  
Author(s):  
Dale Woolridge ◽  
Lisa Goldberg ◽  
Garrett S. Pacheco
Keyword(s):  
Airway Management ◽  
Endotracheal Tube ◽  
Endotracheal Intubation ◽  
Emergency Physician ◽  
Laryngeal Mask ◽  
Volume Control ◽  
Comprehensive Overview ◽  
Insertion Depth ◽  
Pediatric Airway ◽  
Core Skill

Pediatric endotracheal intubation is a procedure that can be stress provoking to the emergency physician. Although the need for this core skill is rare, when confronted with this situation, the emergency physician must have knowledge of the anatomic, physiologic, and pathologic components unique to the pediatric airway to optimize success. Furthermore, the emergency physician should be well versed in the various equipment and adjuncts as well as techniques developed to effectively manage the pediatric airway. This review covers the pathophysiology and practice of endotracheal intubation. Figures show a gum elastic bougie; the Mallampati classification; appropriate oropharyngeal, laryngeal, and tracheal axes; advancing the laryngoscope to lift the epiglottis; endotracheal tube position in neonates; and synchronized intermittent mandatory ventilation pressure-regulated volume control mechanical ventilation. Tables list endotracheal tube sizes, neonatal endotracheal tube sizes, pediatric laryngeal mask airway sizes, commonly used induction agents, and endotracheal tube insertion depth guidelines. This review contains 6 figures, 8 tables, and 77 references. Key words: emergent tracheal intubation; endotracheal tube; laryngoscopy; pediatric airway; pediatric airway management; pediatric endotracheal intubation; pediatric laryngeal mask; video laryngoscopy

Difficult Pediatric Airway Management: A Randomized Trial Comparing Laryngeal Mask Airway, Video-Assisted, and Direct Laryngoscopy

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P101-P101
Author(s):  
Art A. Ambrosio ◽  
Colleen Perez ◽  
Chelsie Byrnes ◽  
Cory Gaconnet ◽  
Christopher Cornelissen ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Randomized Trial ◽  
Direct Laryngoscopy ◽  
Laryngeal Mask ◽  
Pediatric Airway ◽  
Video Assisted

scholarly journals Airway Management of the Severely Retrognathic Child: Use of the Laryngeal Mask Airway

2002 ◽  
Vol 81 (4) ◽  
pp. 223-226 ◽  
Author(s):  
Rose Mary S. Stocks ◽  
Robert Egerman ◽  
Jerome W. Thompson ◽  
Michael Peery
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Potential Problem ◽  
Management Strategies ◽  
Laryngeal Mask ◽  
Intubation Technique ◽  
Unique Challenge ◽  
Pediatric Airway ◽  
Life Saving ◽  
Management Techniques

Successful airway management of an infant or child with moderate to severe retrognathia first requires recognition of a potential problem. If the child cannot be intubated in a standard fashion, the use of a laryngeal mask airway (LMA) should be considered. We describe two cases wherein a toddler and an infant with severe retrognathia failed multiple attempts at traditional intubation. Both had an anterior larynx and hypoplasia of the mandible. In both cases, a subsequent LMA was successfully placed. The severely retrognathic newborn or child presents to the physician a unique challenge in airway management. Techniques to manage this difficult pediatric airway are different from those used in the adult. Otolaryngologists should be aware of this intubation technique and include it in their armamentarium of airway-management strategies. The LMA is not recommended as the technique of choice for securing a difficult airway, but it is an effective alternative when indicated, and it might be life-saving.

Comprehensive Overview of Pediatric Airway Management

2019 ◽  
Author(s):  
Dale Woolridge ◽  
Lisa Goldberg ◽  
Garrett S. Pacheco
Keyword(s):  
Airway Management ◽  
Endotracheal Tube ◽  
Endotracheal Intubation ◽  
Emergency Physician ◽  
Laryngeal Mask ◽  
Volume Control ◽  
Comprehensive Overview ◽  
Insertion Depth ◽  
Pediatric Airway ◽  
Core Skill

Pediatric endotracheal intubation is a procedure that can be stress provoking to the emergency physician. Although the need for this core skill is rare, when confronted with this situation, the emergency physician must have knowledge of the anatomic, physiologic, and pathologic components unique to the pediatric airway to optimize success. Furthermore, the emergency physician should be well versed in the various equipment and adjuncts as well as techniques developed to effectively manage the pediatric airway. This review covers the pathophysiology and practice of endotracheal intubation. Figures show a gum elastic bougie; the Mallampati classification; appropriate oropharyngeal, laryngeal, and tracheal axes; advancing the laryngoscope to lift the epiglottis; endotracheal tube position in neonates; and synchronized intermittent mandatory ventilation pressure-regulated volume control mechanical ventilation. Tables list endotracheal tube sizes, neonatal endotracheal tube sizes, pediatric laryngeal mask airway sizes, commonly used induction agents, and endotracheal tube insertion depth guidelines. This review contains 6 figures, 8 tables, and 77 references. Key words: emergent tracheal intubation; endotracheal tube; laryngoscopy; pediatric airway; pediatric airway management; pediatric endotracheal intubation; pediatric laryngeal mask; video laryngoscopy

Pediatric airway management education and training

2020 ◽  
Vol 30 (3) ◽  
pp. 362-370 ◽  
Author(s):  
Agnes Hunyady ◽  
David Polaner
Keyword(s):  
Airway Management ◽  
Management Education ◽  
Education And Training ◽  
Pediatric Airway ◽  
And Training
Sign in / Sign up

Export Citation Format

Share Document