Airway management in infants and children.
Anaesthesiologists, paediatricians, paediatric intensivists and emergency physicians are routinely challenged with airway management in children and infants. There are important differences from adult airway management as a result of specific features of paediatric anatomy and physiology, which are more relevant the younger the child. In addition, a number of inherited and acquired pathological syndromes have significant impact on airway management in this age group. Several new devices--e.g. different types of laryngeal mask airways in various sizes, small fibre-endoscopes--have been introduced into clinical practice with the intention of improving airway management in this age group. Important new studies have gathered evidence about risks and benefits of certain confounding variables for airway problems and specific techniques for solving them. Airway-related morbidity and mortality in children and infants during the perioperative period are still high, and only a thorough risk determination prior to and continuous attention during the procedure can reduce these risks. Appropriate preparation of the available equipment and frequent training in management algorithms for all personnel involved appear to be very important.
Brambrink
Ansgar M
AM
Department of Anesthesiology and Peri-Operative Medicine, Oregon Health and Science University, Portland 97239-3098, USA. brambrin@ohsu.edu
Braun
Ulrich
U
D002648:Child; D019465:Craniofacial Abnormalities / Q000150:complications; D004867:Equipment Design; D005336:Fiber Optic Technology; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D009083:Mucopolysaccharidoses / Q000150:complications; D009625:Noma / Q000150:complications; D012143:Respiratory Physiological Phenomena; D012137:Respiratory System / Q000033:anatomy & histology; D012141:Respiratory Tract Infections / Q000150:complications; D014741:Video Recording