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Paediatric Anaesthesia

Tutorial 250

The Difficult Paediatric Airway

Dr Yosha Prasad

SpR Anaesthesia

Lister Hospital, Stevenage, UK

Yosha@doctors.org.uk

13TH FEBRUARY 2012

Abstract

Micrognathia is a common feature of difficult intubation in children

The most important consideration is whether ventilation by facemask will be possible.

Always have a plan A, B and C.

Whenever possible use an inhalational technique and keep the child breathing spontaneously

Repeated attempts using a technique which has failed has little logic. Alternative techniques should be considered.

Familiarize yourself with one technique of indirect laryngoscopy by practicing it in children with normal airways.