Adjunct Devices for the Pediatric Difficult Airway: A Case Report - 22/03/22

Doi : 10.1016/j.annemergmed.2021.11.022

Ashley M. Strobel, MD ^a,^b,^d,^⁎ , Brian E. Driver, MD ^a,^d, Tina Slusher, MD ^a,^c, Andrea Rowland-Fisher, MD ^a,^d, Robert F. Reardon, MD ^a,^d
^a Hennepin Healthcare, Hennepin County Medical Center, Minneapolis, MN
^b Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Minnesota Medical School Masonic Children’s Hospital, Minneapolis, MN
^c Division of Pediatric Critical Care, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN
^d Department of Emergency Medicine, University of Minnesota Medical School, Minneapolis, MN

^∗Corresponding Author.

Abstract

This is a case report of a pediatric patient with a difficult airway, in which several airway adjuncts were used simultaneously to successfully provide adequate oxygenation and ventilation during cardiac arrest. Difficult airways are low-incidence, high-risk emergencies in children, and airway adjuncts may be used infrequently, let alone in combination. Included in the discussion of this case are a description of each airway adjunct and a discussion of the process needed to incorporate airway adjuncts safely and effectively into patient care.

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Plan

Introduction

Case Report

Discussion

Early Placement of an Extraglottic Airway

Neonatal Bougie for Small (<4.5 mm) Endotracheal Tube Exchange

Microcuff Endotracheal Tube

Approach to Adoption of Adjunct Pediatric Difficult Airway Devices

Summary

	Supervising editors: Benjamin T. Kerrey, MD, MS; Steven M. Green, MD. Specific detailed information about possible conflict of interest for individual editors is available at editors.
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	Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist. The authors report that this article did not receive any outside funding or support.