Book contents
- Management of the Difficult Pediatric Airway
- Management of the Difficult Pediatric Airway
- Copyright page
- Contents
- Contributors
- Section 1 Basic Principles, Assessment, and Planning of Airway Management
- Section 2 Devices and Techniques to Manage the Abnormal Airway
- Chapter 4 Direct Laryngoscopy Equipment and Techniques
- Chapter 5 Supraglottic Airway Equipment and Techniques
- Chapter 6 Oxygenation Techniques for Children with Difficult Airways
- Chapter 7 Video Laryngoscopy Equipment and Techniques
- Chapter 8 Flexible Bronchoscopy Techniques: Nasal and Oral Approaches
- Chapter 9 Optical Stylet and Light-Guided Equipment and Techniques
- Chapter 10 Rigid Bronchoscopy Equipment and Techniques
- Chapter 11 Hybrid Approaches to the Difficult Pediatric Airway
- Chapter 12 Muscle Relaxants
- Chapter 13 Management of the “Can’t Intubate, Can’t Oxygenate” Scenario
- Chapter 14 Ultrasonography for Airway Management
- Chapter 15 Difficult Airway Cart
- Section 3 Special Topics
- Appendix Airway Management Videos
- Index
- References
Chapter 11 - Hybrid Approaches to the Difficult Pediatric Airway
from Section 2 - Devices and Techniques to Manage the Abnormal Airway
Published online by Cambridge University Press: 10 September 2019
Book contents
- Management of the Difficult Pediatric Airway
- Management of the Difficult Pediatric Airway
- Copyright page
- Contents
- Contributors
- Section 1 Basic Principles, Assessment, and Planning of Airway Management
- Section 2 Devices and Techniques to Manage the Abnormal Airway
- Chapter 4 Direct Laryngoscopy Equipment and Techniques
- Chapter 5 Supraglottic Airway Equipment and Techniques
- Chapter 6 Oxygenation Techniques for Children with Difficult Airways
- Chapter 7 Video Laryngoscopy Equipment and Techniques
- Chapter 8 Flexible Bronchoscopy Techniques: Nasal and Oral Approaches
- Chapter 9 Optical Stylet and Light-Guided Equipment and Techniques
- Chapter 10 Rigid Bronchoscopy Equipment and Techniques
- Chapter 11 Hybrid Approaches to the Difficult Pediatric Airway
- Chapter 12 Muscle Relaxants
- Chapter 13 Management of the “Can’t Intubate, Can’t Oxygenate” Scenario
- Chapter 14 Ultrasonography for Airway Management
- Chapter 15 Difficult Airway Cart
- Section 3 Special Topics
- Appendix Airway Management Videos
- Index
- References
Summary
Despite advances in equipment for difficult airway management, no individual device or technique has a 100% success rate: every device and technique has known limitations. In recent years, hybrid techniques have been increasingly recognized as important difficult airway management options. Hybrid techniques involve the simultaneous use of at least two different modalities for management of the difficult airway. The goal of these techniques is to take advantage of the best features of each device, while minimizing disadvantages.
- Type
- Chapter
- Information
- Management of the Difficult Pediatric Airway , pp. 118 - 128Publisher: Cambridge University PressPrint publication year: 2019
References
Aziz, MP, Heal, D, Kheterpal, S, et al. Routine Clinical Practice Effectiveness of the Glidescope in Difficult Airway Management: an Analysis of 2004 Glidescope Intubations, Complications, and Failures from Two Institutions. Anesthesiology 2011; 114: 34–41.Google Scholar
Gil, KSL, Diemunsch, PA. Fiberoptic and Flexible Endoscopic-Aided Techniques. In Hagberg, C., 3rd ed. Benumof and Hagberg’s Airway Management. Philadelphia: Elsevier; 2013: 389–94.Google Scholar
Practice Guidelines for Management of the Difficult Airway. An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118: 251–70.Google Scholar
Weiss, M, Engelhardt, T. Proposal for the Management of the Unexpected Difficult Pediatric Airway. Pediatric Anaesthesia 2010; 20: 454–64.Google Scholar
Heard, C, Caldicott, L, Fletcher, J, et al. Fiberoptic-Guided Endotracheal Intubation via the Laryngeal Mask Airway in Pediatric Patients: a Report of a Series of Cases. Anesthesia & Analgesia 1996; 82: 1287–9.Google ScholarPubMed
Rabb, M, Minkowitz, H, Hagberg, C. Blind Intubation through the Laryngeal Mask Airway for Management of the Difficult Airway in Infants. Anesthesiology 1996; 84: 1510–11.CrossRefGoogle ScholarPubMed
Preis, CA, Preis, IS. Oversize Endotracheal Tubes and Intubation via Laryngeal Mask Airway. Anesthesiology 1997; 87: 187.CrossRefGoogle ScholarPubMed
Chadd, GD, Walford, AJ, Crane, DL. The 3.5/4.5 Modification for Fiberscope-Guided Tracheal Intubation Using the Laryngeal Mask Airway. Anesthesia & Analgesia 1992; 72: 307–8.Google Scholar
Theroux, MC, Kettrick, RG, Khine, HH. Laryngeal Mask Airway and Fiberoptic Endoscopy in an Infant with Schwartz-Jampel Syndrome. Anesthesiology 1995; 82 : 605.CrossRefGoogle Scholar
Benumof, JL. Use of the Laryngeal Mask Airway to Facilitate Fiberscope-Aided Tracheal Intubation. Anesthesia & Analgesia 1992; 74; 313–15.Google Scholar
Osborn, IP, Soper, R. It’s a Disposable LMA, Just Cut it Shorter – for Fiberoptic Intubation. Anesthesia & Analgesia 2003; 97: 299–300.CrossRefGoogle ScholarPubMed
Kovatsis, PG, Fiadjoe, JE, Stricker, PA. Simple, Reliable Replacement of Pilot Balloons for a Variety of Clinical Situations. Pediatric Anesthesia 2010; 20: 490–4.CrossRefGoogle ScholarPubMed
Jagannathan, N, Sohn, LE, Sawardekar, A, et al. A Randomized Trial Comparing the Ambu Aura-i with the air-Q Intubating Laryngeal Airway as Conduits for Tracheal Intubation in Children. Pediatric Anesthesia 2012; 22: 1197–204.Google Scholar
Whyte, SD, Cook, E, Malherbe, S. Usability and Performance Characteristics of the Pediatric air-Q Intubating Laryngeal Airway. Canadian Journal of Anesthesia/Journal canadien d’anesthésie 2013; 60: 557–63.Google ScholarPubMed
Jagannathan, N, Roth, AG, Sohn, LE, et al. The New air-Q Intubating Laryngeal Airway for Tracheal Intubation in Children with Anticipated Difficult Airway: a Case Series. Pediatric Anesthesia 2009; 19: 618–22.Google Scholar
Fiadjoe, JE, Stricker, PA, Kovatsis, PG, et al. Initial Experience with the air-Q as a Conduit for Fiberoptic Tracheal Intubation in Infants. Pediatric Anesthesia 2010; 20: 195–207.Google Scholar
Jagannathan, N, Jagannathan, R. Prone Insertion of a Size 0.5 Intubating Laryngeal Airway Overcomes Severe Upper Airway Obstruction in an Awake Neonate with Pierre Robin Syndrome. Canadian Journal of Anesthesia/Journal canadien d’anesthésie 2012; 59: 1001–2.Google Scholar
Jagannathan, N, Truong, CA. Simple Method to Deliver Pharyngeal Anesthesia in Syndromic Infants Prior to Awake Insertion of the Intubating Laryngeal Airway. Canadian Journal of Anesthesia/Journal canadien d’anesthésie 2010; 57: 1138–9.Google Scholar
Jagannathan, N, Sohn, LE, Eidem, JM. Use of the air-Q Intubating Laryngeal Airway for Rapid-Sequence Intubation in Infants with Severe Airway Obstruction: a Case Series. Anesthesia 2013; 68: 636–8.CrossRefGoogle ScholarPubMed
Asai, T. Is it Safe to Use Supraglottic Airway in Children with Difficult Airways? British Journal of Anaesthesia 2014; 112: 620–2.CrossRefGoogle ScholarPubMed
Reber, A, Paganoni, R, Frei, FJ. Effect of Common Airway Manoeuvres on Upper Airway Dimensions and Clinical Signs in Anaesthetized, Spontaneously Breathing Children. British Journal of Anaesthesia 2001; 86: 217–22.Google Scholar
Galgon, RE, Schroeder, KM, Schmidt, CS, et al. Fiberoptic-Guided Tracheal Tube Placement through the air-Q Intubating Laryngeal Airway: a Performance Study in a Manikin. Journal of Anesthesia 2011; 25: 721–6.Google Scholar
Wong, D, Apichatibutra, N, Arora, G, et al. Repeated Attempts Improve Tracheal Tube Insertion Time Using the Intubating Laryngeal Airway in a Mannequin. Journal of Clinical Anesthesia 2010; 22: 619–24.Google Scholar
Cavus, E, Dorges, V. Video Laryngoscopes. In Hagberg, C., 3rd ed. Benumof and Hagberg’s Airway Management. Philadelphia: Elsevier; 2013: 544–5.Google Scholar
Cooper, RM, Pacey, JA, Bishop, MJ, et al. Early Clinical Experience with a New Videolaryngoscope (Glidescope) in 728 Patients. Canadian Journal of Anesthesia/Journal canadien d’anesthésie 2005; 52: 191–8.Google Scholar
Lenhardt, R, Burkhart, MT, Brock, GN, et al. Is Video Laryngoscope-Assisted Flexible Tracheoscope Intubation Feasible for Patients with Predicted Difficult Airway? A Prospective, Randomized Clinical Trial. Anesthesia & Analgesia 2014; 118: 1259–65.Google Scholar
Blasius, K, Gooden, C. A Pediatric Difficult Airway Managed with a Glidescope-Assisted Fiberoptic Intubation. Pediatric Anesthesiology 2011 (Abstract) CSF141.Google Scholar
Moore, MS, Wong, AB. Glidescope Intubation Assisted by Fiberoptic Scope. Anesthesiology 2007; 106: 885.CrossRefGoogle ScholarPubMed
Doyle, JD. Glidescope-Assisted Fiberoptic Intubation: a New Airway Teaching Method. Anesthesiology 2004; 101: 1252.CrossRefGoogle ScholarPubMed
Sukernik, MR, Bezinover, D, Stahlman, B, et al. (January 2009). Combination of Glidescope with Fiberoptic Bronchoscope for Optimization of Difficult Endotracheal Intubation. A Case Series of Three Patients. Glidescope and Bronchoscope article. Website. http://www.priory.com/medicine/Glidescope_bronchoscope.htmGoogle Scholar
Audenaert, SM, Montgomery, CL, Stone, B, et al. Retrograde-Assisted Fiberoptic Tracheal Intubation in Children with Difficult Airways. Anesthesia & Analgesia 1991; 73: 660–4.CrossRefGoogle ScholarPubMed