Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2010
Cannot ventilate-cannot intubate an infant: surgical tracheotomy or transtracheal cannula?
An unanticipated difficult airway is very uncommon in infants. The recommendations for managing the cannot ventilate-cannot intubate (CVCI) situation in infants and small children are based on difficult airway algorithms for adults. These algorithms usually recommend placement of a transtracheal cannula or performing a surgical tracheotomy as a last resort. In this study, we compared the success rate and time used for inserting a transtracheal cannula vs performing a modified surgical tracheotomy in a piglet model. ⋯ We found placement of a transtracheal cannula to be significantly less successful than the modified surgical tracheotomy in a piglet model. We question whether placement of a transtracheal cannula should be recommended in infants in a cannot ventilate-cannot intubate situation.
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Paediatric anaesthesia · Nov 2010
Letter Case ReportsAnother cause of hypercapnia during induction of anesthesia.