Pregledni rad
SOME PEDIATRIC SYNDROMES WITH DIFFICULT AIRWAYS IN NESTHESIA INDUCTION
DIANA BUTKOVIĆ
; Sveučilište u Osijeku, Medicinski fakultet, Osijek i Klinika za dječje bolesti Zagreb, Zagreb, Hrvatska
Sažetak
Out of a large number of pediatric syndromes, some pose a problem of diffi cult pediatric airway. The defi nition of diffi cult
airway includes problems with facemask ventilation, diffi culties with laryngoscopy or with tracheal intubation. The most
common diffi cult airway problems in children with pediatric syndromes are caused by head deformities, maxillary or mandibular
hypoplasia, small mouths, limited mouth opening, big tongues, micro- and retrognathy, and limited neck mobility.
Pediatric syndromes with diffi cult airways include Apert sy, Beckwith-Wiedemann sy, Cornelia De Lange sy, achondroplasia,
CHARGE sy, Cri du chat sy, Crouzon sy, Pffeifer sy, Down sy, Hunter sy, Hurler sy, Goldenhar sy, Klippel- Feil sy, Pierre Robin
sy, Treacher Collins sy and epidermolysis bullosa. Rescue devices for diffi cult pediatric airway management are shown along
with each syndrome, e.g., supraglottic devices such as laryngeal mask airway, intubating introducer – gum elastic bougie,
lighted stylet, fi beroptic stylet, fl exible fi beroptic bronchoscope, indirect rigid laryngoscope and video laryngoscope. This
overview of pediatric syndromes with diffi cult airways, as well review of devices for diffi cult pediatric airway management is
intended for anesthesiologists who anesthetize children daily or periodically.
Ključne riječi
syndromes; pediatric; difficult airway; anesthesia
Hrčak ID:
209066
URI
Datum izdavanja:
18.11.2018.
Posjeta: 2.413 *