Airway management in mucopolysaccharidosis: a retrospective case series review

Tümer, Murat; Yılbaş, Aysun Ankay; Debbağ, Sehend; Saricaoglu, Fatma; Canbay, Özgür

doi:10.1016/j.bjane.2021.10.013

Cited by 1 publication

(1 citation statement)

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“…[8][9][10] Pediatric anesthesia technology has been developing rapidly, including the understanding of the particularity of pediatric airway anatomy and the airway devices designed for different ages of pediatric patients, leading to better pediatric airway management. (2) In the most recent studies, data is from the specific pediatric patients, such as the neonates, 19 the patients with specific syndromes 20,21 and multisystemic diseases, 22,23 leading to a higher prevalence of difficult airway and airway events. (3) Our data did not include pediatric patients in the emergency department and intensive care unit, where endotracheal intubation and airway management are frequently occurring.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Difficult Airway and Associated Risk Factors in Pediatric Patients: A Cross-sessional Observational Study

Shen,

Shi

2024

Journal of Craniofacial Surgery

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Background: Difficult airway remains a great challenge in pediatric anesthesia practice. Previously published data show the prevalence of difficult airways in pediatric population varies in a wide range. However, there is a lack of studies in the Asian region. Methods: This cross-sectional single-center study was conducted in a tertiary pediatric hospital in China from October 2022 to October 2023. The patients who underwent elective surgery under general anesthesia with tracheal intubation were recruited consecutively. Data on patient characteristics, airway assessment, and airway management information were collected. Multivariable logistic regression analysis was performed to detect the independent variables of difficult airway in pediatric patients. Results: A total of 18,491 pediatric patients were included in this study. The overall incidence of difficult airways was 0.22%, 39% of whom were unanticipated. Very few previous airway management information was available in the patients presented with a known difficult airway. Patients with younger age, higher American Society of Anesthesiologists (ASA) physical status classification grade, and presented for craniofacial and thoracic surgery were associated with higher incidence of difficult airway. Further multivariable logistic regression analysis revealed that age ≤28 days (OR=50.48), age between 28days and 1 year (OR=6.053), craniofacial surgery (OR=1.81), and thoracic surgery (OR=0.2465) were independent risk factors of increased incidence of difficult airway. Conclusions: Our study showed the prevalence of difficult airways in pediatric surgical patients. Patient characteristics, age, and type of surgery were identified as the independent factors associated with increased occurrence of difficult airways. Unanticipated difficult airway was not unusual in our study population, even for the patients with previous surgical history.

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