Pediatric airway management: Current practices and future directions

Rani A. Sunder, Dawit T. Haile, Patrick T. Farrell, Anshuman Sharma

Research output: Contribution to journalReview articlepeer-review

52 Scopus citations

Abstract

Summary Management of a pediatric airway can be a challenge, especially for the nonpediatric anesthesiologists. Structured algorithms for an unexpected difficult pediatric airway have been missing so far. A recent step wise algorithm, based on the Difficult Airway society (DAS) adult protocol, is a step in the right direction. There have been some exciting advances in development of pediatric extra-glottic devices for maintaining ventilation, and introduction of pediatric versions of new 'non line of sight' laryngoscopes and optical stylets. The exact role of these devices in routine and emergent situations is still evolving. Recent advances in simulation technology has become a valuable tool in imparting psychomotor and procedural skills to trainees and allied healthcare workers. Moving toward the goal of eliminating serious adverse events during the management of routine and difficult pediatric airway, authors propose that institutions develop a dedicated Difficult Airway Service comprising of a team of experts in advanced airway management.

Original languageEnglish
Pages (from-to)1008-1015
Number of pages8
JournalPaediatric Anaesthesia
Volume22
Issue number10
DOIs
StatePublished - Oct 1 2012

Keywords

  • difficult airway
  • equipment
  • management
  • medical education
  • pediatric
  • simulation

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