Supraglottic Airway Devices for Pediatric Airway Management in the Emergency Department | Digest

Supraglottic Airway Devices for Pediatric Airway Management in the Emergency Department

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Points & Pearls Excerpt

  • Supraglottic airway devices (SGAs) are an alternative method for pediatric airway management. They are relatively safe, easy to learn how to use, and quick to place, with a high success rate and less complications than endotracheal intubation.
  • SGAs can be used to secure a patient’s airway for oxygenation and ventilation in “can’t intubate, can’t ventilate” scenarios, and many SGAs can also be used to facilitate sequential intubation of the airway.
  • Sizing for different SGAs varies by brand and is usually weight-based in pediatric patients.
  • Laryngeal mask airways (LMAs) are commonly used SGAs, which can be placed without neuromuscular agents or laryngoscope. Frequent LMA repositioning may be required for pediatric patients.
  • Acquired conditions can cause airway difficulties and may develop as a result of infection, allergic reactions, trauma, or foreign body aspiration.

Most Important References

  • * Brimacombe J. The advantages of the LMA over the tracheal tube or facemask: a meta-analysis. Can J Anaesth. 1995;42(11):1017-1023. (Meta-analysis; 52 studies) DOI: 10.1007/bf03011075
  • * Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013;118(2):251-270. (Practice guidelines) DOI: 10.1097/ALN.0b013e31827773b2
  • * Detsky ME, Jivraj N, Adhikari NK, et al. Will this patient be difficult to intubate?: The Rational Clinical Examination Systematic Review. JAMA. 2019;321(5):493503. (Meta-analysis; 62 studies, 33,559 patients) DOI: 10.1001/jama.2018.21413
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Publication Information

Jennifer E. Sanders, MD, FAAP; Louis A. Spina, MD, FAAP

Peer Reviewed By

Heather M. Kuntz, MD, FACEP, FAAP; Shira A. Schlesinger, MD, MPH, FACEP

Publication Date

October 1, 2020

CME Expiration Date

October 1, 2023    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.

Pub Med ID: 33001595

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