Paediatric difficult airway management: Difference between revisions

Line 181: Line 181:
===1. Difficult mask ventilation===
===1. Difficult mask ventilation===
A simple algorithm for the management of difficult mask ventilation
A simple algorithm for the management of difficult mask ventilation
is given in Figure 1: Difficult mask ventilation algorithm. http://
is given in Figure 1.
www.apagbi.org.uk/sites/default/files/images/APA1-DiffMaskVent-
FINAL.pdf


====Difficult mask ventilation – equipment problems====
====Difficult mask ventilation – equipment problems====
Line 214: Line 212:
child’s oxygen saturation begins to fall:
child’s oxygen saturation begins to fall:
:EITHER insert an LMA (if available),
:EITHER insert an LMA (if available),
:OR deepen anaesthesia, attempt to visualise the vocal cords and
:OR deepen anaesthesia, attempt to visualise the vocal cords and intubate the trachea.
intubate the trachea.


There is no randomised controlled trial to assess which is the best
There is no randomised controlled trial to assess which is the best
Line 225: Line 222:


If in doubt, wake the child up.
If in doubt, wake the child up.
===2. Unexpected difficult tracheal intubation===
===2. Unexpected difficult tracheal intubation===
A simple algorithm for the management of unexpected difficult
A simple algorithm for the management of unexpected difficult