Airway management in infants and children

Ansgar M. Brambrink, Ulrich Braun

Research output: Contribution to journalReview articlepeer-review

23 Scopus citations

Abstract

Anaesthesiologists, paediatricians, paediatric intensivists and emergency physicians are routinely challenged with airway management in children and infants. There are important differences from adult airway management as a result of specific features of paediatric anatomy and physiology, which are more relevant the younger the child. In addition, a number of inherited and acquired pathological syndromes have significant impact on airway management in this age group. Several new devices - e.g. different types of laryngeal mask airways in various sizes, small fibre-endoscopes - have been introduced into clinical practice with the intention of improving airway management in this age group. Important new studies have gathered evidence about risks and benefits of certain confounding variables for airway problems and specific techniques for solving them. Airway-related morbidity and mortality in children and infants during the perioperative period are still high, and only a thorough risk determination prior to and continuous attention during the procedure can reduce these risks. Appropriate preparation of the available equipment and frequent training in management algorithms for all personnel involved appear to be very important.

Original languageEnglish (US)
Pages (from-to)675-697
Number of pages23
JournalBest Practice and Research: Clinical Anaesthesiology
Volume19
Issue number4
DOIs
StatePublished - Dec 1 2005

Keywords

  • Airway management
  • Children
  • Conventional endotracheal intubation
  • Craniofacial malformations
  • Cuffed endotracheal tubes
  • Fibre-optic intubation
  • Laryngeal mask airway
  • Laryngeal tube
  • Neonates
  • Paediatric anaesthesia
  • Paediatric face masks
  • Paediatric fibre-endoscope
  • Perioperative airway risks

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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