• Emerg. Med. Clin. North Am. · Aug 2021

    Review

    Just Breathe: Tips and Highlights for Managing Pediatric Respiratory Distress and Failure.

    • Megan J Cobb.
    • University of Maryland School of Medicine, Department of Emergency Medicine; Maryland Emergency Medicine Network, Upper Chesapeake Emergency Medicine, 500 Upper Chesapeake Dr, Bel Air, MD 21014, USA. Electronic address: Megan.Cobb@som.umaryland.edu.
    • Emerg. Med. Clin. North Am. 2021 Aug 1; 39 (3): 493-508.

    AbstractAnatomically, the airway is ever changing in size, anteroposterior alignment, and point of most narrow dimension. Special considerations regarding obesity, chronic and acute illness, underlying developmental abnormalities, and age can all affect preparation and intervention toward securing a definitive airway. Mechanical ventilation strategies should focus on limiting peak inspiratory pressures and optimizing lung protective tidal volumes. Emergency physicians should work toward minimizing risk of peri-intubation hypoxemia and arrest. With review of anatomic and physiologic principles in the setting of a practical approach toward evaluating and managing distress and failure, emergency physicians can successfully manage critical pediatric airway encounters.Copyright © 2021 Elsevier Inc. All rights reserved.

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