The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel.


Journal

Scandinavian journal of trauma, resuscitation and emergency medicine
ISSN: 1757-7241
Titre abrégé: Scand J Trauma Resusc Emerg Med
Pays: England
ID NLM: 101477511

Informations de publication

Date de publication:
18 Sep 2019
Historique:
received: 23 04 2019
accepted: 09 09 2019
entrez: 20 9 2019
pubmed: 20 9 2019
medline: 7 1 2020
Statut: epublish

Résumé

Children form a specific group of patients, as there are significant differences between children and adults in both anatomy and physiology. Difficult airway may be unanticipated or anticipated. Difficulties encountered during intubation may cause hypoxia, hypoxic brain injury and, in extreme situations, may result in the patient's death. There are few paediatric difficult-airway guidelines available in the current literature, and some of these have significant limitations. This position paper, intended for unanticipated difficult airway, was elaborated by the panel of specialists representing the Polish Society of Anaesthesiology and Intensive Care as well as the Polish Neonatal Society. It covers both elective intubation and emergency situations in children in all age groups. An integral part of the paper is an algorithm. The paper describes in detail all stages of the algorithm considering some modification in specific age groups, i.e. neonates.

Identifiants

pubmed: 31533787
doi: 10.1186/s13049-019-0666-7
pii: 10.1186/s13049-019-0666-7
pmc: PMC6751579
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

87

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Auteurs

Wojciech Walas (W)

Paediatric and Neonatal Intensive Care Unit, University Hospital in Opole, Opole, Poland.

Dawid Aleksandrowicz (D)

Anaesthetic Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.

Maria Kornacka (M)

Neonatal and Intensive Care Department, Medical University of Warsaw, Warsaw, Poland.

Tomasz Gaszyński (T)

Department of Anaesthesiology and Intensive Therapy, Medical University of Lodz, Lodz, Poland.

Ewa Helwich (E)

Clinic of Neonatology and Intensive Neonatal Care, Institute of Mother and Child Care, Warsaw, Poland.

Marek Migdał (M)

Paediatric Intensive Care Unit, Children's Memorial Health Institute, Warsaw, Poland.

Andrzej Piotrowski (A)

Department of Anaesthesia and Intensive Care, Children's Memorial Health Institute, Warsaw, Poland.

Grażyna Siejka (G)

Department of Paediatric Anaesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, Poland.

Tomasz Szczapa (T)

Department of Neonatology, Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical Sciences, Poznan, Poland.

Alicja Bartkowska-Śniatkowska (A)

Department of Paediatric Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, Poznan, Poland.

Zenon P Halaba (ZP)

Institute of Medicine, University of Opole, 48 Oleska Str, 45-052, Opole, Poland. zhalaba@uni.opole.pl.

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