Abstract

Airway management is vital to the administration of any safe anesthetic and is a basic and fundamental skill of anesthesia practice. Pediatric anesthesia providers must have a specialized set of skills to ensure competent management of the pediatric airway. Airway management varies according to patient factors such as age, weight and size, medical history and comorbidities, airway assessment and anomalies, and surgical considerations, such as airway manipulation and ventilation requirements. The anesthesia provider must be prepared to manage anticipated and unanticipated airway complications. Early recognition of a difficult airway, obstruction, or the inability to ventilate and/or intubate is crucial to avoiding patient deterioration and progression to hypoxemia, cardiac arrest, and potential neurologic sequelae. This chapter presents the basic principles of pediatric airway management including strategies for the management of the difficult pediatric airway.

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