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Controversies in Pediatric Perioperative Airways

Pediatric airway management is a challenge in routine anesthesia practice. Any airway-related complication due to improper procedure can have catastrophic consequences in pediatric patients. The authors reviewed the current relevant literature using the following data bases: Google Scholar, PubMed,...

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Autores principales: Klučka, Jozef, Štourač, Petr, Štoudek, Roman, Ťoukálková, Michaela, Harazim, Hana, Kosinová, Martina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670638/
https://www.ncbi.nlm.nih.gov/pubmed/26759809
http://dx.doi.org/10.1155/2015/368761
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author Klučka, Jozef
Štourač, Petr
Štoudek, Roman
Ťoukálková, Michaela
Harazim, Hana
Kosinová, Martina
author_facet Klučka, Jozef
Štourač, Petr
Štoudek, Roman
Ťoukálková, Michaela
Harazim, Hana
Kosinová, Martina
author_sort Klučka, Jozef
collection PubMed
description Pediatric airway management is a challenge in routine anesthesia practice. Any airway-related complication due to improper procedure can have catastrophic consequences in pediatric patients. The authors reviewed the current relevant literature using the following data bases: Google Scholar, PubMed, Medline (OVID SP), and Dynamed, and the following keywords: Airway/s, Children, Pediatric, Difficult Airways, and Controversies. From a summary of the data, we identified several controversies: difficult airway prediction, difficult airway management, cuffed versus uncuffed endotracheal tubes for securing pediatric airways, rapid sequence induction (RSI), laryngeal mask versus endotracheal tube, and extubation timing. The data show that pediatric anesthesia practice in perioperative airway management is currently lacking the strong evidence-based medicine (EBM) data that is available for adult subpopulations. A number of procedural steps in airway management are derived only from adult populations. However, the objective is the same irrespective of patient age: proper securing of the airway and oxygenation of the patient.
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spelling pubmed-46706382016-01-12 Controversies in Pediatric Perioperative Airways Klučka, Jozef Štourač, Petr Štoudek, Roman Ťoukálková, Michaela Harazim, Hana Kosinová, Martina Biomed Res Int Review Article Pediatric airway management is a challenge in routine anesthesia practice. Any airway-related complication due to improper procedure can have catastrophic consequences in pediatric patients. The authors reviewed the current relevant literature using the following data bases: Google Scholar, PubMed, Medline (OVID SP), and Dynamed, and the following keywords: Airway/s, Children, Pediatric, Difficult Airways, and Controversies. From a summary of the data, we identified several controversies: difficult airway prediction, difficult airway management, cuffed versus uncuffed endotracheal tubes for securing pediatric airways, rapid sequence induction (RSI), laryngeal mask versus endotracheal tube, and extubation timing. The data show that pediatric anesthesia practice in perioperative airway management is currently lacking the strong evidence-based medicine (EBM) data that is available for adult subpopulations. A number of procedural steps in airway management are derived only from adult populations. However, the objective is the same irrespective of patient age: proper securing of the airway and oxygenation of the patient. Hindawi Publishing Corporation 2015 2015-11-22 /pmc/articles/PMC4670638/ /pubmed/26759809 http://dx.doi.org/10.1155/2015/368761 Text en Copyright © 2015 Jozef Klučka et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Klučka, Jozef
Štourač, Petr
Štoudek, Roman
Ťoukálková, Michaela
Harazim, Hana
Kosinová, Martina
Controversies in Pediatric Perioperative Airways
title Controversies in Pediatric Perioperative Airways
title_full Controversies in Pediatric Perioperative Airways
title_fullStr Controversies in Pediatric Perioperative Airways
title_full_unstemmed Controversies in Pediatric Perioperative Airways
title_short Controversies in Pediatric Perioperative Airways
title_sort controversies in pediatric perioperative airways
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670638/
https://www.ncbi.nlm.nih.gov/pubmed/26759809
http://dx.doi.org/10.1155/2015/368761
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