Paediatric airway management: What is new?

Airway management plays a pivotal role in Paediatric Anaesthesia. Over the last two decades many improvements in this area have helped us to overcome this final frontier. From an era where intubation with a conventional laryngoscope or blind nasal intubation was the only tool for airway management,...

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Bibliographic Details
Published in:Indian journal of anaesthesia 2012-09, Vol.56 (5), p.448-453
Main Authors: Ramesh, S, Jayanthi, R, Archana, S R
Format: Article
Language:English
Subjects:
Airway management
Anesthesia
Anesthesiology
Care and treatment
Children & youth
Cuffed endotracheal tubes
Health aspects
paediatric airway
Pediatric anesthesia
Pediatric respiratory diseases
Pediatrics
Review
Risk factors
video laryngoscopes
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Summary:Airway management plays a pivotal role in Paediatric Anaesthesia. Over the last two decades many improvements in this area have helped us to overcome this final frontier. From an era where intubation with a conventional laryngoscope or blind nasal intubation was the only tool for airway management, we have come a long way. Today supraglottic airway devices have pride of place in the Operating Room and are becoming important airway devices used in routine procedures. Direct and indirect fibreoptic laryngoscopes and transtracheal devices help us overcome difficult and previously impossible airway situations. These developments mean that we need to update our knowledge on these devices. Also much of our basic understanding of the physiology and anatomy of the paediatric airway has changed. This article attempts to shed light on some of the most important advances/opinions in paediatric airway management like, cuffed endotracheal tubes, supraglottic airway devices, video laryngoscopes, rapid sequence intubation, the newly proposed algorithm for difficult airway management and the role of Ex Utero Intrapartum Treatment (EXIT) procedure in the management of the neonatal airway.
ISSN:0019-5049
0976-2817
DOI:10.4103/0019-5049.103959