Advanced airway management

被引:15
作者
Nagler, Joshua [1 ]
Bachur, Richard G. [1 ]
机构
[1] Childrens Hosp, Div Emergency Med, Boston, MA 02115 USA
关键词
endotracheal intubation; rapid sequence induction; supraglottic airway device; ventilation; video laryngoscopy; LARYNGEAL MASK AIRWAY; GLIDESCOPE(R) VIDEO LARYNGOSCOPE; IN-LINE STABILIZATION; CERVICAL-SPINE MOTION; ENDOTRACHEAL INTUBATION; MACINTOSH LARYNGOSCOPE; TRACHEAL INTUBATION; SUCCESS RATE; PHASE-II; DIFFICULT;
D O I
10.1097/MOP.0b013e32832b112c
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose of review Advanced airway management in children can be challenging, and the potential for morbidity following failed attempts is high. Recent findings Supraglottic rescue devices, including the laryngeal mask airway, esophageal-tracheal combination tube, and laryngeal tube have been shown to be suitable ventilation strategies following failed intubation and in arrest scenarios. In addition, a newly developed reversal agent for rocuronium is being investigated as a means of limiting the duration of neuromuscular blockade following rapid sequence induction. Finally, the advent of video laryngoscopy has been shown to have advantages over traditional direct laryngoscopy, in terms of both patient care and training. Summary Pediatric providers are encouraged to develop familiarity with emerging rescue ventilation devices, as well as recent advances in the practice of rapid sequence induction and laryngoscopy.
引用
收藏
页码:299 / 305
页数:7
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