Update on ENT anaesthesia in children

This article is an update of anaesthesia for common paediatric ear, nose and throat (ENT) procedures. ENT pathology is the most common indication for surgery in children. An increasing number are performed as day cases, even in the presence of comorbidities such as obstructive sleep apnoea, but judi...

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Bibliographic Details
Published in:Anaesthesia and intensive care medicine 2019-01, Vol.20 (1), p.56-60
Main Authors: Ridgway, Randa, Dumbarton, Tristan, Brown, Zoë
Format: Article
Language:English
Subjects:
Adenotonsillectomy
dexmedetomidine
obstructive sleep apnoea
otolaryngology
paediatrics
transnasal humidified rapid-insufflation ventilatory exchange
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Summary:This article is an update of anaesthesia for common paediatric ear, nose and throat (ENT) procedures. ENT pathology is the most common indication for surgery in children. An increasing number are performed as day cases, even in the presence of comorbidities such as obstructive sleep apnoea, but judicious selection of suitable children remains important. Considerations include severity of disease, known difficult airway, complex comorbidities and the surgical centre. The anaesthetic management of frequently performed paediatric ENT procedures will be discussed, including the potential role for dexmedetomidine and recent advances using transnasal humidified rapid insufflation ventilatory exchange.
ISSN:1472-0299
1878-7584
DOI:10.1016/j.mpaic.2018.11.003