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

Authors :
Walas W
Aleksandrowicz D
Kornacka M
Gaszyński T
Helwich E
Migdał M
Piotrowski A
Siejka G
Szczapa T
Bartkowska-Śniatkowska A
Halaba ZP
Source :
Scandinavian journal of trauma, resuscitation and emergency medicine [Scand J Trauma Resusc Emerg Med] 2019 Sep 18; Vol. 27 (1), pp. 87. Date of Electronic Publication: 2019 Sep 18.
Publication Year :
2019

Abstract

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.

Details

Language :
English
ISSN :
1757-7241
Volume :
27
Issue :
1
Database :
MEDLINE
Journal :
Scandinavian journal of trauma, resuscitation and emergency medicine
Publication Type :
Academic Journal
Accession number :
31533787
Full Text :
https://doi.org/10.1186/s13049-019-0666-7