Paediatric difficult airway management: Difference between revisions

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Will facemask ventilation be difficult?
Will facemask ventilation be difficult?
:• A tumour or abnormal face shape may prevent the facemask from
:• A tumour or abnormal face shape may prevent the facemask from sealing easily over the face.
sealing easily over the face.
:• Syndromes associated with midface hypoplasia
:• Syndromes associated with midface hypoplasia
:• Children with severe obstructive sleep apnoea (e.g. tonsillar
:• Children with severe obstructive sleep apnoea (e.g. tonsillar hypertrophy).
hypertrophy).


Will intubation be difficult?
Will intubation be difficult?
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:• Obstructive sleep apnoea
:• Obstructive sleep apnoea
:• Stridor
:• Stridor
:• Syndromes associated with facial asymmetry. Note ear
:• Syndromes associated with facial asymmetry. Note ear abnormalities are often associated (e.g. Goldenhar syndrome).
abnormalities are often associated (e.g. Goldenhar syndrome).




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Assess the airway by observing the child in side view rather than
Assess the airway by observing the child in side view rather than
from the front.
from the front.
:• Mandibular hyperplasia - ameloblastoma may cause jaw
:• Mandibular hyperplasia - ameloblastoma may cause jaw protrusion and can make laryngoscopy and intubation difficult
protrusion and can make laryngoscopy and intubation difficult
:• Inspection of the oral cavity (e.g. for intraoral masses).
:• Inspection of the oral cavity (e.g. for intraoral masses).


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