• Scand J Trauma Resus · Sep 2019

    Review

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

    • Wojciech Walas, Dawid Aleksandrowicz, Maria Kornacka, Tomasz Gaszyński, Ewa Helwich, Marek Migdał, Andrzej Piotrowski, Grażyna Siejka, Tomasz Szczapa, Alicja Bartkowska-Śniatkowska, and Zenon P Halaba.
    • Paediatric and Neonatal Intensive Care Unit, University Hospital in Opole, Opole, Poland.
    • Scand J Trauma Resus. 2019 Sep 18; 27 (1): 87.

    AbstractChildren 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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