• Paediatric anaesthesia · Mar 2020

    Review

    Anesthesia for shared airway surgery in children.

    • James Bradley, Gi Soo Lee, and James Peyton.
    • Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.
    • Paediatr Anaesth. 2020 Mar 1; 30 (3): 288-295.

    AbstractShared airway surgery in children is a complex, high-risk undertaking that requires continuous communication and cooperation between the anesthetic and surgical teams. Airway abnormalities commonly seen in children, the surgical options, and the anesthetic techniques that can be used to care for this vulnerable population are discussed. Many of these procedures were traditionally carried out using jet ventilation, or intermittent tracheal intubation, but increasingly spontaneously breathing "tubeless" techniques are being used. This review has been written from both the surgical and anesthetic perspective, highlighting the concerns that both specialties have in relation to the maintenance of surgical access and operating conditions, and the need for the provision of anesthesia, oxygenation, and ventilation where the airway is the primary site of operation.© 2019 John Wiley & Sons Ltd.

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