Management of the difficult airway: alternative airway techniques and adjuncts

Butler, Kenneth H.; Clyne, Brian

doi:10.1016/s0733-8627(03)00007-5

Cited by 47 publications

(16 citation statements)

References 84 publications

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“…2 shows guide insertion in the tracheal lumen during tracheotomy performed in one of the patients included in the study. The availability of fibrobronchoscopy in the ICU is essential for dealing with the so-called ''difficult airway'', 28,29 though in practice this is an infrequently applied indication, 5,22 since experience in performing the technique is required. The third indication in order of frequency in our series was the management of pulmonary hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Analysis of 208 flexible bronchoscopies performed in an intensive care unit

Estella

2012

Medicina Intensiva (English Edition)

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Section: Discussionmentioning

confidence: 99%

Analysis of 208 flexible bronchoscopies performed in an intensive care unit

Estella

2012

Medicina Intensiva (English Edition)

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“…En la figura 2 se muestra el detalle en el que se visualiza la introducción de la guía en la luz traqueal durante una traqueotomía realizada a uno de los pacientes incluidos en el estudio. La disponibilidad del fibrobroncoscopio en la UCI es fundamental para el abordaje de la denominada «vía aérea difícil» 28,29 , aunque realmente es una indicación poco utilizada 5,22 debido a que se requiere experiencia para la realización de la técnica. La tercera indicación en orden de frecuencia de la serie presentada fue para el manejo de la hemorragia pulmonar.…”

Section: Discussionunclassified

Análisis de 208 fibrobroncoscopias realizadas en una unidad de cuidados intensivos

Estella

2012

Medicina Intensiva

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“…An intubating LMA (LMAFastrach TM , LMA North America) is available for use in children >30 kg and in adults. The intubating LMA is reviewed elsewhere [259].…”

Section: Laryngeal Mask Airwaysmentioning

confidence: 99%

Assessment and Management of the Pediatric Airway

Wheeler

Spaeth

Mehta

et al. 2008

Resuscitation and Stabilization of the Critically Ill Child

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Anatomic features that differ between children and adults include (1) a proportionally larger head and occiput (relative to body size), causing neck fl exion and leading to potential airway obstruction when lying supine; (2) a relatively larger tongue, decreasing the size of the oral cavity; (3) decreased muscle tone, resulting in passive obstruction of the airway by the tongue; (4) a shorter, narrower, horizontally positioned, softer epiglottis; (5) cephalad and anterior position of the larynx; (6) shorter, smaller, narrower trachea; and (7) funnel-shaped versus cylindrical airway, such that the narrowest portion of the airway is located at the level of the cricoid cartilage (Figure 4.1).The fi rst and perhaps most obvious difference is that the pediatric airway is much smaller in diameter and shorter in length than the adult's. For example, the length of the trachea changes from approximately 4 cm in neonates to approximately 12 cm in adults, and the tracheal diameter varies from approximately 3 mm in the premature infant to approximately 25 mm in the adult [11,13]. According to Hagen-Poiseuille's law, the change in air fl ow resulting from a reduction in airway diameter is directly proportional to the airway radius elevated to the fourth power:

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Management of the difficult airway: alternative airway techniques and adjuncts

Cited by 47 publications

References 84 publications

Analysis of 208 flexible bronchoscopies performed in an intensive care unit

Analysis of 208 flexible bronchoscopies performed in an intensive care unit

Análisis de 208 fibrobroncoscopias realizadas en una unidad de cuidados intensivos

Assessment and Management of the Pediatric Airway

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