Der Kindliche Atemweg - Anatomische und Physiologische Besonderheiten sowie Neue Erkenntnisse zum Airway-Management in der Klinischen Praxis

Translated title of the contribution: Management of Paediatric Airway - Anatomy, Physiology and New Developments in Clinical Practice

Von A.M. Brambrink, R. R. Meyer, F. J. Kretz

Research output: Contribution to journalReview article

16 Scopus citations

Abstract

Due to the special features of paediatric anatomy and physiology, the expected and unexpected difficult paediatric airway is one of the major challenges to every anaesthesiologist, paediatrician and emergency physician. During the last years, some new devices have been made available to improve airway management in children and infants, and several studies have advanced our understanding of the risks and benefits of our clinical practice. Certain risk factors for airway related problems during anaesthesia in children having a "cold" have been identified, and there are new aspects of the controversy concerning the use of cuffed endotracheal tube (ETT) in children. New video assisted systems have been introduced for the management of the difficult airway in paediatric patients, and new applications for well-known devices have been suggested, e.g. the laryngeal mask airway (LMA) serving as guidance for fibreoptic intubation. Recent studies have also demonstrated specific problems with the LMA in infants, as well as possible advantages of a new prototype LMA for children, similar to the ProSea/™. Furthermore, the following review presents data about the use of the Cuffed Oropharyngeal Airway (COPA) and the Laryngeal Tube (LT) in paediatric patients.

Translated title of the contributionManagement of Paediatric Airway - Anatomy, Physiology and New Developments in Clinical Practice
Original languageGerman
Pages (from-to)144-151
Number of pages8
JournalAnaesthesiologie und Reanimation
Volume28
Issue number6
StatePublished - Dec 1 2003

Keywords

  • Airway management
  • Children
  • Cuffed oropharyngeal airway
  • Fibre-optic intubation
  • Laryngeal mask airway
  • Laryngeal tube
  • Neonates
  • Paediatric anaesthesia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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