open access

Vol 8, No 3 (2023)
Review paper
Published online: 2023-07-20
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Management of the difficult airway in the pediatric patient — review of existing scales

Karolina Mikolap1, Natasza Blek23, Sergiusz Blek4, Aleksandra Olkiewicz4, Lukasz Szarpak25
DOI: 10.5603/DEMJ.a2023.0025
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Disaster Emerg Med J 2023;8(3):157-165.
Affiliations
  1. Medical University of Warsaw, Poland
  2. Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
  3. Department of Neurology, Wolski Hospital, Warsaw, Poland
  4. Research Unit, Polish Society of Disaster Medicine
  5. Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine Houston, Houston, TX, United States

open access

Vol 8, No 3 (2023)
REVIEW ARTICLES
Published online: 2023-07-20

Abstract

There are numerous anatomical, physiological, and clinical differences between pediatric and adult airway management. Airway obstruction in children is unquestionably a stressful situation for the medical staff and the patient’s family. Therefore, caregivers must be able to accurately assess the risk of such an occurrence.

To date, there is no consensus on a single ideal pediatric airway assessment scale that could help identify children with the highest risk for intubation-related adverse events. Instead, a few classifications and methods were proposed, with some employing the same techniques proven effective for adults and others emphasizing the differences in the pediatric population. This article compares the data used to support the use of various perioperative airway assessment techniques in pediatric patients. The majority of these remedies rely on anatomical measurements, bedside tests, and in-depth patient histories.

This narrative review highlights the need for standardized and reliable pediatric airway assessment scales and stresses the significance of structured airway assessment in pediatric patients.

Abstract

There are numerous anatomical, physiological, and clinical differences between pediatric and adult airway management. Airway obstruction in children is unquestionably a stressful situation for the medical staff and the patient’s family. Therefore, caregivers must be able to accurately assess the risk of such an occurrence.

To date, there is no consensus on a single ideal pediatric airway assessment scale that could help identify children with the highest risk for intubation-related adverse events. Instead, a few classifications and methods were proposed, with some employing the same techniques proven effective for adults and others emphasizing the differences in the pediatric population. This article compares the data used to support the use of various perioperative airway assessment techniques in pediatric patients. The majority of these remedies rely on anatomical measurements, bedside tests, and in-depth patient histories.

This narrative review highlights the need for standardized and reliable pediatric airway assessment scales and stresses the significance of structured airway assessment in pediatric patients.

Get Citation

Keywords

pediatric airway assessment; pediatric intubation; difficult airway; airway management

About this article
Title

Management of the difficult airway in the pediatric patient — review of existing scales

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 8, No 3 (2023)

Article type

Review paper

Pages

157-165

Published online

2023-07-20

Page views

279

Article views/downloads

520

DOI

10.5603/DEMJ.a2023.0025

Bibliographic record

Disaster Emerg Med J 2023;8(3):157-165.

Keywords

pediatric airway assessment
pediatric intubation
difficult airway
airway management

Authors

Karolina Mikolap
Natasza Blek
Sergiusz Blek
Aleksandra Olkiewicz
Lukasz Szarpak

References (21)
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