Difficult Airway Management in Neonates and Infants: Knowledge of Devices and a Device-Oriented Strategy

Frontiers in Pediatrics

article

Teiji Sawa¹  Atsushi Kainuma¹  Koichi Akiyama²  Mao Kinoshita¹  Masayuki Shibasaki¹ 

[1] Department of Anesthesiology, Kyoto Prefectural University of Medicine;Department of Anesthesia, Yodogawa Christian Hospital

关键词: difficult airway management;    fiberoptic scope;    infant;    supraglottic airway device;    video laryngoscope;   

DOI  :  10.3389/fped.2021.654291

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Difficult airway management (DAM) in neonates and infants requires anesthesiologists and critical care clinicians to respond rapidly with appropriate evaluation of specific situations. Therefore, organizing information regarding DAM devices and device-oriented guidance for neonate and infant DAM treatment will help practitioners select the safest and most effective strategy. Based on DAM device information and reported literature, there are three modern options for DAM in neonates and infants that can be selected according to the anatomical difficulty and device-oriented strategy: (1) video laryngoscope (VLS), (2) supraglottic airway device (SAD), and (3) flexible fiberoptic scope (FOS). Some VLSs are equipped with small blades for infants. Advanced SADs have small sizes for infants, and some effectively function as conduits for endotracheal intubation. The smallest FOS has an outer diameter of 2.2 mm and enables intubation with endotracheal tubes with an inner diameter of 3.0 mm. DAM in neonates and infants can be improved by effectively selecting the appropriate device combination and ensuring that available providers have the necessary skills.

【 授权许可】

CC BY