Paediatric difficult airway management: Difference between revisions

Line 113: Line 113:


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?
Line 126: Line 124:
:• 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).




Line 141: Line 138:
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).