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Paediatric airway management update: Myths and traditions versus evidence-based medicine (EBM)


Authors: J. Klučka;  M. Ťoukálková;  I. Křikava;  R. Štoudek;  P. Štourač
Authors‘ workplace: Brno ;  Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice Brno, Lékařská fakulta Masarykovy univerzity
Published in: Anest. intenziv. Med., 28, 2017, č. 2, s. 128-134
Category:

Overview

Airway management is a critical part of paediatric anaesthesia. Only a minority of anaesthesiologists are experienced in paediatric airway management because of the relatively small number of surgical procedures (compared with the adult population) and also due to the centralization of paediatric medical care. This situation, together with the absence of evidence-based data (EBM) and recommendations often leads to “eminence-based” care (local medical authority experience), which can have negative impact on the final outcome. The author’s aim was to analyse and evaluate the current EBM data and recommendations related to paediatric airway management and to discuss the potential controversies - rapid sequence induction and the use of uncuffed versus cuffed tubes in paediatric patients in the perioperative period.

Keywords:
airway management – cricoid pressure – Sellicks manoeuvre – rapid sequence induction – paediatric patient – cuffed tracheal tubes


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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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