Just Breathe: Tips and Highlights for Managing Pediatric Respiratory Distress and Failure

Emerg Med Clin North Am. 2021 Aug;39(3):493-508. doi: 10.1016/j.emc.2021.04.004. Epub 2021 Jun 10.ABSTRACTAnatomically, the airway is ever changing in size, anteroposterior alignment, and point of most narrow dimension. Special considerations regarding obesity, chronic and acute illness, underlying developmental abnormalities, and age can all affect preparation and intervention toward securing a definitive airway. Mechanical ventilation strategies should focus on limiting peak inspiratory pressures and optimizing lung protective tidal volumes. Emergency physicians should work toward minimizing risk of peri-intubation hypoxemia and arrest. With review of anatomic and physiologic principles in the setting of a practical approach toward evaluating and managing distress and failure, emergency physicians can successfully manage critical pediatric airway encounters.PMID:34215399 | DOI:10.1016/j.emc.2021.04.004

Source: The Medical Clinics of North America - July 3, 2021 Category: General Medicine Authors: Megan J Cobb Source Type: research