Huang Andrea S, Hajduk John, Rim Catherine, Coffield Sarah, Jagannathan Narasimhan
Department of Pediatric Anesthesia, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Indian J Anaesth. 2019 Jun;63(6):428-436. doi: 10.4103/ija.IJA_250_19.
Management of the difficult paediatric airway management may be associated with a high rate of complications. It is important that clinicians understand the patient profiles associated with difficult airway management, and the equipment and techniques available to effectively manage these children. The goal of this focused review is to highlight key airway management concepts when managing the paediatric difficult airway. This includes understanding the advantages and limitations of various airway equipment designed for children and reviewing the difficult airway algorithm with its unique considerations for the paediatric patient. Early recognition of known risk factors and thorough preparation may be helpful in reducing the risk of complications during difficult airway management in children.
小儿困难气道的管理可能伴随着较高的并发症发生率。临床医生了解与困难气道管理相关的患者情况以及有效管理这些儿童可用的设备和技术非常重要。这篇重点综述的目的是突出在管理小儿困难气道时的关键气道管理概念。这包括了解各种儿童专用气道设备的优缺点,以及回顾针对小儿患者有独特考量的困难气道处理流程。尽早识别已知风险因素并做好充分准备,可能有助于降低小儿困难气道管理期间的并发症风险。