Management of the Difficult Pediatric Airway

2020 
This review discusses the most current relevant literature regarding management of the difficult pediatric airway. Periodic review of the latest research ensures that anesthesia providers are educated on the most current practices. The review will provide practical evidence to support the use of various devices and techniques, including video laryngoscopy, flexible fiberoptic bronchoscopy, apneic oxygenation, use of neuromuscular blockade, ultrasound, and more. A simple algorithm for managing the difficult pediatric airway is also provided. Understanding the risk factors for the difficult pediatric airway, along with thorough preparation, will aid in reducing complications, which can be devastating. Providers must maintain proficiency in the skills, both traditional and novel, required to effectively and safely manage the expected and unexpected difficult pediatric airway.
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