The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel

Abstract Children form a specific group of patients, as there are significant differences between children and adults in both anatomy and physiology. Difficult airway may be unanticipated or anticipated. Difficulties encountered during intubation may cause hypoxia, hypoxic brain injury and, in extre...

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Main Authors: Wojciech Walas, Dawid Aleksandrowicz, Maria Kornacka, Tomasz Gaszyński, Ewa Helwich, Marek Migdał, Andrzej Piotrowski, Grażyna Siejka, Tomasz Szczapa, Alicja Bartkowska-Śniatkowska, Zenon P. Halaba
Format: Article
Language:English
Published: BMC 2019-09-01
Series:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13049-019-0666-7
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author Wojciech Walas
Dawid Aleksandrowicz
Maria Kornacka
Tomasz Gaszyński
Ewa Helwich
Marek Migdał
Andrzej Piotrowski
Grażyna Siejka
Tomasz Szczapa
Alicja Bartkowska-Śniatkowska
Zenon P. Halaba
author_facet Wojciech Walas
Dawid Aleksandrowicz
Maria Kornacka
Tomasz Gaszyński
Ewa Helwich
Marek Migdał
Andrzej Piotrowski
Grażyna Siejka
Tomasz Szczapa
Alicja Bartkowska-Śniatkowska
Zenon P. Halaba
author_sort Wojciech Walas
collection DOAJ
description Abstract Children form a specific group of patients, as there are significant differences between children and adults in both anatomy and physiology. Difficult airway may be unanticipated or anticipated. Difficulties encountered during intubation may cause hypoxia, hypoxic brain injury and, in extreme situations, may result in the patient’s death. There are few paediatric difficult-airway guidelines available in the current literature, and some of these have significant limitations. This position paper, intended for unanticipated difficult airway, was elaborated by the panel of specialists representing the Polish Society of Anaesthesiology and Intensive Care as well as the Polish Neonatal Society. It covers both elective intubation and emergency situations in children in all age groups. An integral part of the paper is an algorithm. The paper describes in detail all stages of the algorithm considering some modification in specific age groups, i.e. neonates.
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spelling doaj.art-f4f22cf6e8f74893ac267406560341672022-12-21T23:56:05ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412019-09-0127111010.1186/s13049-019-0666-7The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panelWojciech Walas0Dawid Aleksandrowicz1Maria Kornacka2Tomasz Gaszyński3Ewa Helwich4Marek Migdał5Andrzej Piotrowski6Grażyna Siejka7Tomasz Szczapa8Alicja Bartkowska-Śniatkowska9Zenon P. Halaba10Paediatric and Neonatal Intensive Care Unit, University Hospital in OpoleAnaesthetic Department, Guy’s and St. Thomas’ NHS Foundation TrustNeonatal and Intensive Care Department, Medical University of WarsawDepartment of Anaesthesiology and Intensive Therapy, Medical University of LodzClinic of Neonatology and Intensive Neonatal Care, Institute of Mother and Child CarePaediatric Intensive Care Unit, Children’s Memorial Health InstituteDepartment of Anaesthesia and Intensive Care, Children’s Memorial Health InstituteDepartment of Paediatric Anaesthesiology and Intensive Therapy, Wroclaw Medical UniversityDepartment of Neonatology, Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical SciencesDepartment of Paediatric Anaesthesiology and Intensive Therapy, Poznan University of Medical SciencesInstitute of Medicine, University of OpoleAbstract Children form a specific group of patients, as there are significant differences between children and adults in both anatomy and physiology. Difficult airway may be unanticipated or anticipated. Difficulties encountered during intubation may cause hypoxia, hypoxic brain injury and, in extreme situations, may result in the patient’s death. There are few paediatric difficult-airway guidelines available in the current literature, and some of these have significant limitations. This position paper, intended for unanticipated difficult airway, was elaborated by the panel of specialists representing the Polish Society of Anaesthesiology and Intensive Care as well as the Polish Neonatal Society. It covers both elective intubation and emergency situations in children in all age groups. An integral part of the paper is an algorithm. The paper describes in detail all stages of the algorithm considering some modification in specific age groups, i.e. neonates.http://link.springer.com/article/10.1186/s13049-019-0666-7Difficult intubationNeonateInfantChild and adolescent
spellingShingle Wojciech Walas
Dawid Aleksandrowicz
Maria Kornacka
Tomasz Gaszyński
Ewa Helwich
Marek Migdał
Andrzej Piotrowski
Grażyna Siejka
Tomasz Szczapa
Alicja Bartkowska-Śniatkowska
Zenon P. Halaba
The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Difficult intubation
Neonate
Infant
Child and adolescent
title The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel
title_full The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel
title_fullStr The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel
title_full_unstemmed The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel
title_short The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel
title_sort management of unanticipated difficult airways in children of all age groups in anaesthetic practice the position paper of an expert panel
topic Difficult intubation
Neonate
Infant
Child and adolescent
url http://link.springer.com/article/10.1186/s13049-019-0666-7
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