Pediatric Airway Management: Unique Perspectives and New Thoughts

Abstract

Listen

Translate article

Features| July 2022 Pediatric Airway Management: Unique Perspectives and New Thoughts Aman Kalra, MD Aman Kalra, MD Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor July 2022, Vol. 86, 22–24. https://doi.org/10.1097/01.ASM.0000842056.25323.45 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation Aman Kalra; Pediatric Airway Management: Unique Perspectives and New Thoughts. ASA Monitor 2022; 86:22–24 doi: https://doi.org/10.1097/01.ASM.0000842056.25323.45 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: airway maintenance, child, pediatrics, airway device, infant, jaw thrust Adverse respiratory events are among the most common critical perioperative events in pediatric anesthesia. Proficient management of the pediatric airway requires thorough understanding of its unique anatomical and physiological characteristics (Acta Anaesthesiol Scand 2009;53:1-9; Paediatr Anaesth 2012;22:1008-15; Int J Crit Illn Inj Sci 2014;4:65-70). These differences are most recognizable in infants, toddlers, and young children. The proportionally large head and tongue, restricted submandibular space, high larynx, and a floppy epiglottis present special challenges to airway management. Physiologically, high metabolic demand and low oxygen reserves shorten the time to significant hypoxemia during periods of apnea and laryngospasm. Resistance to airflow through small airways is high, and even the slightest decrease in radius from secretions or inflammation can increase airway pressures manyfold, resulting in acute respiratory compromise. Covering the full spectrum of pediatric airway management is outside the purview of this concise review. We will instead focus on... You do not currently have access to this content.