Krishna Senthil G, Bryant Jason F, Tobias Joseph D
Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, United States.
Department of Anesthesiology and Pain Medicine, The Ohio State University, Columbus, Ohio, United States.
J Pediatr Intensive Care. 2018 Sep;7(3):115-125. doi: 10.1055/s-0038-1624576. Epub 2018 Jan 28.
Loss of airway control in children, if not resolved quickly, will lead to devastating consequences. Successful management of the pediatric difficult airway, both anticipated and unanticipated, is facilitated by preprocedure assessment and preparation. Accessibility of and continued hands-on training with modern airway instruments, familiarization with difficult airway guidelines, and collaboration with multidisciplinary airway teams can aid in the management of the difficult pediatric airway. This review outlines the importance of airway assessment and advanced airway equipment for children. It also discusses difficult airway management techniques and algorithms for the management and rescue of the pediatric difficult airway.
儿童气道控制丧失若不迅速解决,将导致灾难性后果。术前评估和准备有助于成功处理预期和非预期的儿科困难气道。使用现代气道器械进行可及性和持续的实践培训、熟悉困难气道指南以及与多学科气道团队协作,有助于处理儿科困难气道。本综述概述了儿童气道评估和先进气道设备的重要性。它还讨论了儿科困难气道管理和救援的困难气道管理技术及算法。