Fiberoptic Bronchoscopy versus Video Laryngoscopy in Pediatric Airway Management.

Content Provider	Semantic Scholar
Author	Karišik, Marijana Janjević, Dušanka Sorbello, Massimiliano
Copyright Year	2016
Abstract	The primary goal of pediatric airway management is to ensure oxygenation and ventilation. Routine airway management in healthy pediatric patients is normally easy in experienced hands. Really difficult pediatric airway is rare and usually is associated with anatomically and physiologically important findings such as congenital abnormalities and syndromes, trauma, infection, swelling and burns. Using predictors of difficult intubation should be mandatory preoperative assessment in pediatric patients. Difficult airway algorithm for pediatric patients has to consist of three parts: oxygenation (A), tracheal intubation (B), and rescue (C). According to this new algorithm, if conventional direct laryngoscopy fails, we have to use alternative glottic visualization device. Do we really need video laryngoscopy? If we look at numbers, we might estimate that conventional laryngoscopy is successful and effective in around 98.5% of cases. Do we need to replace Macintosh laryngoscope with video laryngoscope completely in our routine practice? Should video laryngoscope be available to replace fiberoptic intubation in pediatric airway management? According to the algorithm, fiberoptic-assisted tracheal intubation combined with extraglottic airway devices is the standard of care. Establishment of protocols for equipping and maintaining airway trolleys and regular training in their use must be provided to avoid tissue hypoxia in children with compromised airway.
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://hrcak.srce.hr/file/228233
PubMed reference number	27276772v1
Volume Number	55
Journal	Acta clinica Croatica
Language	English
Access Restriction	Open
Subject Keyword	Airway Management Airway Obstruction Burn injury Cell Respiration Congenital Abnormality Edema Fiberoptic Device Component Hypoxia Imagery Intubation Intubation, Intratracheal Laryngoscopes Laryngoscopy Patients Protocols documentation Reactive airway disease Syndrome Wounds and Injuries algorithm glottis
Content Type	Text
Resource Type	Article