Evidence · Other
Implementation of the American Society of Anesthesiologists 2022 paediatric guidelines in a child with mandibular metastasis.
- Airway
- Difficult airway
- Haematology and oncology
- Intubation
- Medical
- Nursing
- Tracheostomy
Summary
A case report describing application of the 2022 American Society of Anesthesiologists difficult airway guidelines in a 16-month-old with a rapidly growing mandibular mass. It highlights the guidelines' paediatric-specific emphasis on a multidisciplinary team led by a paediatric-trained anaesthetist, advance planning including indirect laryngoscopy, and availability of surgical tracheostomy and ECMO backup. Repeated team 'time outs' were used to confirm roles and contingency plans, and induction, mask ventilation and first-attempt intubation proceeded uneventfully. Useful for PICU teams involved in anticipated difficult airway planning and shared airway emergencies.
Summary written for PICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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Guidelines are shown for education. Follow your unit's own guidance and senior advice.