Současné trendy v zajištění dýchacích cest u dětí – tradice a mýty versus evidence based medicine

Title in English Paediatric airway management update: Myths and traditions versus evidence-based medicine (EBM)
Authors

KLUČKA Jozef ŤOUKÁLKOVÁ Michaela KŘIKAVA Ivo ŠTOUDEK Roman ŠTOURAČ Petr

Year of publication 2017
Type Article in Periodical
Magazine / Source Anesteziologie a intenzivní medicína
MU Faculty or unit

Faculty of Medicine

Citation
Field Other medical specializations
Keywords airway management; cricoid pressure; Sellicks manoeuvre; rapid sequence induction – paediatric patient; cuffed tracheal tubes
Description Airway management is a critical part of paediatric anaesthesia. Only a minority of anaesthesiologists are experienced in paediatric airway management because of the relatively small number of surgical procedures (compared with the adult population) and also due to the centralization of paediatric medical care. This situation, together with the absence of evidence-based data (EBM) and recommendations often leads to “eminence-based” care (local medical authority experience), which can have negative impact on the final outcome. The author’s aim was to analyse and evaluate the current EBM data and recommendations related to paediatric airway management and to discuss the potential controversies - rapid sequence induction and the use of uncuffed versus cuffed tubes in paediatric patients in the perioperative period.

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