Paediatric difficult airway management: Difference between revisions

impossible. The best technique will depend on the equipment and

expertise available, as well as the nature of the difficult airway.

Inhalational induction, using halothane or sevoflurane in 100%

oxygen, is generally recommended Intravenous access may be

until laryngoscopy is tolerated or LMA inserted or FOI performed

depending on the airway management plan.

If inhalational induction is impossible, small doses of IV induction

agent should be given to induce loss of consciousness but still

preserving spontaneous ventilation. Propofol 0.5-1mg.kg-1 or ketamine

0.5-1mg.kg-1 should be given and titrated to effect.

If inhalational induction is not possible due to pain, for instance, from

an infected facial mass/tumour (rather than because of a large extraoral

combination provides better conditions for laryngoscopy than when

using intravenous ketamine alone.

Nasal fibreoptic intubation – general

• Maintain anaesthesia either with incremental doses of ketamine