Anatomy and assessment of the pediatric airway

Adewale, Lola

doi:10.1111/j.1460-9592.2009.03012.x

Cited by 109 publications

(90 citation statements)

References 26 publications

(57 reference statements)

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“…Anatomical characteristics are thought to allow the trachea to vary its length and contract its diameter when the lungs and carina move upward with pneumoperitoneum and Trendelenburg position [9][10][11]. Conformational changes in the trachea occur easily in children because of their soft and developing cartilaginous rings [12][13][14], and thereby may have caused the tight fit of the tube with the trachea, leading to the increase observed in leak pressure, ultimately resulting in the significant decrease in ETT leak. Given this hypothesis, the use of a cuffed ETT in which the cuff pressure can be monitored and adjusted to acceptable pressures seems to be more beneficial than an uncuffed ETT for prevention of damage to the tracheal tissue.…”

Section: Discussionmentioning

confidence: 99%

Changes in uncuffed endotracheal tube leak during laparoscopic inguinal herniorrhaphy in children

et al. 2016

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The present study was conducted to investigate changes in uncuffed endotracheal tube (ETT) leak during laparoscopic surgery. The study included 31 patients aged between 1 and 6 years scheduled for elective laparoscopic inguinal herniorrhaphy. Inspiratory and expiratory tidal volumes (TVi and TVe) were measured during mechanical ventilation, and ETT leak was calculated using the formula-ETT leak = (TVi - TVe)/TVi × 100 (%), assessed at the following time-points-5 min after the start of mechanical ventilation (T1, baseline), just before the start of surgery (T2), 5 min after the induction of pneumoperitoneum with 15° Trendelenburg tilt (T3), and at the end of surgery (T4). Additionally, leak pressure was assessed after successful tracheal intubation (T0, baseline) at T2, T3 and T4. Uncuffed ETT leak significantly decreased at T3 compared with T1 (baseline). Leak pressure significantly increased at T3 and T4 compared with T0 (baseline). Further studies are needed in order to determine whether the results are universal and associated with clinically significant outcomes.

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Section: Discussionmentioning

confidence: 99%

Changes in uncuffed endotracheal tube leak during laparoscopic inguinal herniorrhaphy in children

et al. 2016

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“…Routine airway management in pediatric patients is normally easy in experienced hands for anesthesiologists working in specialized hospitals with appropriate personnel and equipment that guarantee optimal safety in these patients 2 . On the other hand, pediatric airway management is a great challenge for anesthesiologists working in departments with a small number of pediatric surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Simple, Timely, Safely? Laryngeal Mask and Pediatric Airway

Karišik

2016

ACC

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SuMMARY -Laryngeal mask airway (LMA) was a useful, powerful airway management device for routine pediatric airway management, pediatric difficult airway, and in pediatric emergency situations. Over years, various designs, induction and insertion techniques have been described. LMA provides ease of placement and removal as compared with endotracheal intubation, less traumatism for the respiratory tract, better tolerability by patients, improved hemodynamic stability during emergency, less coughing, less sore throat, avoidance of laryngoscopy, and hands free airway. On the other hand, LMA is not suitable to overcome functional airway problems and mechanical airway obstruction in children. Simple airway management in pediatric patients is normally easy in experienced hands, for anesthesiologists working in specialized hospitals with appropriate personnel and equipment that guarantee optimal safety in these patients. On the other hand, pediatric airway management is a great challenge for anesthesiologists working in departments with a small number of pediatric surgical procedures. Careful preoperative evaluation, preparation and training in the recognition of challenges in pediatric airway are essential for the management of the airway in children. LMA plays a special role in the management of difficult pediatric airway; as a supraglottic airway device, it is incorporated into difficult pediatric airway algorithms.

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“…La principal estructura ósea en la vía aérea es el hueso hioides, aunque en más de la mitad de los pacientes no se logra obtener su completa visualización 6 .…”

Section: Identificación Sonográfica De Estructuras De La Vía Aéreaunclassified

El uso del ultrasonido en el manejo de la vía aérea

Zamudio

Casas-Arroyave

2015

Revista Colombiana de Anestesiología

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Cómo citar este artículo: Zamudio Burbano MA, Casas Arroyave FD. El uso del ultrasonido en el manejo de la vía aérea. Rev Colomb Anestesiol. 2015. http://dx.información del artículo Historia del artículo: Recibido el 1 de noviembre de 2014 Aceptado el 24 de marzo de 2015 On-line el xxx Palabras clave: Ultrasonografía Manejo de la vía aérea Intubación Epiglotis Anestesia r e s u m e nLa ecografía como herramienta diagnóstica y terapéutica ha tenido un gran impacto en el quehacer rutinario del anestesiólogo en múltiples áreas de aplicación práctica. Sin embargo, es hasta hace poco que han aparecido en la literatura reportes de su uso en situaciones que involucran el manejo de la vía área del paciente en cirugía y unidades de cuidados intensivos. Al ser esta una herramienta portable, fácil de usar, no invasiva y sin necesidad de energía ionizante, la hace altamente atractiva al momento de resolver preguntas prácticas del anestesiólogo que se ve enfrentado a una vía área difícil. Justamente el objetivo de esta revisión fue mostrar desde la literatura cuáles son los potenciales usos de los ecografía en el manejo de la vía área.Hasta el momento los estudios muestran suficientes elementos para recomendar su uso en los siguientes situaciones: identificación de estructuras anatómicas en la vía área; detección estática de intubación fallida o esofágica; mediciones dinámicas de la vía área y determinación del tamaño de tubos endotraqueales; predictores de vía área difícil en pacientes con cuello desfavorable, y técnicas transtraqueales para aseguramiento de la vía área.A pesar de ello, aún se requieren mayores estudios con suficiente calidad metodológica en donde se demuestre que el uso de la ecografía sí puede llegar a impactar en el manejo de la vía área difícil y en la morbimortalidad generada por esta entidad.

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Anatomy and assessment of the pediatric airway

Cited by 109 publications

References 26 publications

Changes in uncuffed endotracheal tube leak during laparoscopic inguinal herniorrhaphy in children

Changes in uncuffed endotracheal tube leak during laparoscopic inguinal herniorrhaphy in children

Simple, Timely, Safely? Laryngeal Mask and Pediatric Airway

El uso del ultrasonido en el manejo de la vía aérea

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