Academic Journal
Airway management in neonates and infants:European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines
| العنوان: | Airway management in neonates and infants:European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines |
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| المؤلفون: | Disma, Nicola, Asai, Takashi, Cools, Evelien, Cronin, Alexandria, Engelhardt, Thomas, Fiadjoe, John, Fuchs, Alexander, Garcia-Marcinkiewicz, Annery, Habre, Walid, Heath, Chloe, Johansen, Mathias, Kaufmann, Jost, Kleine-Brueggeney, Maren, Kovatsis, Pete G., Kranke, Peter, Lusardi, Andrea C., Matava, Clyde, Peyton, James, Riva, Thomas, Romero, Carolina S., Von Ungern-Sternberg, Britta, Veyckemans, Francis, Afshari, Arash |
| المصدر: | Disma , N , Asai , T , Cools , E , Cronin , A , Engelhardt , T , Fiadjoe , J , Fuchs , A , Garcia-Marcinkiewicz , A , Habre , W , Heath , C , Johansen , M , Kaufmann , J , Kleine-Brueggeney , M , Kovatsis , P G , Kranke , P , Lusardi , A C , Matava , C , Peyton , J , Riva , T , Romero , C S , Von Ungern-Sternberg , B , Veyckemans , F , Afshari , A & Airway guidelines groups .... |
| سنة النشر: | 2024 |
| المجموعة: | University of Copenhagen: Research / Forskning ved Københavns Universitet |
| مصطلحات موضوعية: | airway management, difficult airway, neonate, paediatric anaesthesia, practice guidelines |
| الوصف: | Airway management is required during general anaesthesia and is essential for life-threatening conditions such as cardiopulmonary resuscitation. Evidence from recent trials indicates a high incidence of critical events during airway management, especially in neonates or infants. It is important to define the optimal techniques and strategies for airway management in these groups. In this joint European Society of Anaesthesiology and Intensive Care (ESAIC) and British Journal of Anaesthesia (BJA) guideline on airway management in neonates and infants, we present aggregated and evidence-based recommendations to assist clinicians in providing safe and effective medical care. We identified seven main areas of interest for airway management: i) preoperative assessment and preparation; ii) medications; iii) techniques and algorithms; iv) identification and treatment of difficult airways; v) confirmation of tracheal intubation; vi) tracheal extubation, and vii) human factors. Based on these areas, Population, Intervention, Comparison, Outcomes (PICO) questions were derived that guided a structured literature search. GRADE (Grading of Recommendations, Assessment, Development and Evaluation) methodology was used to formulate the recommendations based on those studies included with consideration of their methodological quality (strong ‘1’ or weak ‘2’ recommendation with high ‘A’, medium ‘B’ or low ‘C’ quality of evidence). In summary, we recommend: 1. Use medical history and physical examination to predict difficult airway management (1С). 2. Ensure adequate level of sedation or general anaesthesia during airway management (1B). 3. Administer neuromuscular blocker before tracheal intubation when spontaneous breathing is not necessary (1С). 4. Use a videolaryngoscope with an age-adapted standard blade as first choice for tracheal intubation (1B). 5. Apply apnoeic oxygenation during tracheal intubation in neonates (1B). 6. Consider a supraglottic airway for rescue oxygenation and ventilation when tracheal intubation fails ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| DOI: | 10.1097/EJA.0000000000001928 |
| الاتاحة: | https://researchprofiles.ku.dk/da/publications/airway-management-in-neonates-and-infants(beb0cd65-509f-4d3a-a07a-67008b428eba).html https://doi.org/10.1097/EJA.0000000000001928 https://curis.ku.dk/ws/files/378130035/airway_management_in_neonates_and_infants_.2.pdf |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.54A29475 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/EJA.0000000000001928 |
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