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...
Main Authors: | , , , , , , , , , , |
---|---|
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 |
_version_ | 1818307103211651072 |
---|---|
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. |
first_indexed | 2024-12-13T06:53:03Z |
format | Article |
id | doaj.art-f4f22cf6e8f74893ac26740656034167 |
institution | Directory Open Access Journal |
issn | 1757-7241 |
language | English |
last_indexed | 2024-12-13T06:53:03Z |
publishDate | 2019-09-01 |
publisher | BMC |
record_format | Article |
series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
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 |
work_keys_str_mv | AT wojciechwalas themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT dawidaleksandrowicz themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT mariakornacka themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT tomaszgaszynski themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT ewahelwich themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT marekmigdał themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT andrzejpiotrowski themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT grazynasiejka themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT tomaszszczapa themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT alicjabartkowskasniatkowska themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT zenonphalaba themanagementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT wojciechwalas managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT dawidaleksandrowicz managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT mariakornacka managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT tomaszgaszynski managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT ewahelwich managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT marekmigdał managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT andrzejpiotrowski managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT grazynasiejka managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT tomaszszczapa managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT alicjabartkowskasniatkowska managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel AT zenonphalaba managementofunanticipateddifficultairwaysinchildrenofallagegroupsinanaestheticpracticethepositionpaperofanexpertpanel |