Management Of Difficult Pediatric Airway Research Articles

Anesthetic management of difficult paediatric airway in a case of large facial Neurofibromatosis – A case report

Neurofibromatosis is tumor involving different parts of the body. Neurofibromatosis may potentially lead to difficult airway. These challenging cases need special considerations. Various anesthetic techniques and devices are described to secure the airway. In the present case we intubated a 11-year-old child with large left side facial tumor extending to the neck which had intraoral encroachment displacing the tongue and pharynx to the right. This is a case report illustrating intubation of difficult pediatrics airway using awake bronchoscopic intubation under conscious sedation.

Innovative management of difficult paediatric airway, using antegrade seldinger technique.

Innovative management of difficult paediatric airway, using antegrade seldinger technique.

Clinical advance in difficult pediatric airway management

Background Management of a pediatric airway can be a challenge for anesthesiologists, especially for anesthesiologists who did not get special pediatric anesthesia training. Up to now, there are new devices designed specifically for use in pediatric airway management. Also, several algorithms and guidelines specific to the pediatric difficult airway management have been suggested. Objective The aim of this article is to describe clinical advances in difficult pediatric airway management, and give key evaluation on the roles of new devices and techniques in the pediatric airway management. Content This article mainly describes challenges of pediatric airway management, management of anticipated and unanticipated difficult pediatric airways, available devices for managing the pediatric airway and extubation of pediatric patients with a difficult airway. Especially, it is emphasized that the management of both the anticipated and unanticipated difficult pediatric airway requires a forethought plan to reduce the risk of complications and to enhance patient safety. Moreover, the controversies of extra-glottic airway devices(EGAD) and alternative devices to direct laryngoscopy in pediatric airway management are elucidated. Trend Although airway management strategies for children, techniques and equipment are significantly improved during the past few years, management of difficult pediatric airway remains a problem associated with significant risks and complications. In the future, more efforts and multicentre studies are still needed to determine the best practices for managing the difficult pediatric airway Key words: Children; Airway management; Tracheal intubation

Cystic Teratoma of Face and Scalp - Management of Difficult Pediatric Airway by Modification of Conventional Technique

Management of pediatric difficult airway has always been a challenge to the anesthesiologist. Effective airway management includes proper assessment of the airway, anticipation of difficulties, good preparation & team work. We present a unique case of 6-week-old infant posted for excision of a large cystic teratoma of face and scalp where the airway was secured effectively by using the retro-molar intubation and modification of conventional technique of ventilation and laryngoscopy.

SIMPLE, TIMELY, SAFELY? LARYNGEAL MASK AND PEDIATRIC AIRWAY

Laryngeal mask airway (LMA) was a useful, powerful airway management device for routine pediatric airway management, pediatric difficult airway, and in pediatric emergency situations. Over years, various designs, induction and insertion techniques have been described. LMA provides ease of placement and removal as compared with endotracheal intubation, less traumatism for the respiratory tract, better tolerability by patients, improved hemodynamic stability during emergency, less coughing, less sore throat, avoidance of laryngoscopy, and hands free airway. On the other hand, LMA is not suitable to overcome functional airway problems and mechanical airway obstruction in children. Simple airway management in pediatric patients is normally easy in experienced hands, for anesthesiologists working in specialized hospitals with appropriate personnel and equipment that guarantee optimal safety in these patients. On the other hand, pediatric airway management is a great challenge for anesthesiologists working in departments with a small number of pediatric surgical procedures. Careful preoperative evaluation, preparation and training in the recognition of challenges in pediatric airway are essential for the management of the airway in children. LMA plays a special role in the management of difficult pediatric airway; as a supraglottic airway device, it is incorporated into difficult pediatric airway algorithms.

Management of difficult pediatric airway using bonfils fiberscope: a useful suggestion

Pediatric AnesthesiaVolume 20, Issue 4 p. 376-377 Management of difficult pediatric airway using bonfils fiberscope: a useful suggestion Rajeev Sharma, Rajeev Sharma Specialist, Department of Anesthesiology,ESI Hospital, Rohini,New Delhi 110085, India(email: rajeevkrsharmaji@gmail.com)Search for more papers by this author Rajeev Sharma, Rajeev Sharma Specialist, Department of Anesthesiology,ESI Hospital, Rohini,New Delhi 110085, India(email: rajeevkrsharmaji@gmail.com)Search for more papers by this author First published: 08 March 2010 https://doi.org/10.1111/j.1460-9592.2009.03252.xRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume20, Issue4April 2010Pages 376-377 RelatedInformation

Modified TrachlightTM for management of difficult pediatric airway

Modified Trachlight^TM for management of difficult pediatric airway