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Updated: Jun 12, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Evidence-based guidelines for pediatric emergencies.

M Lakhanpaul¹, Tj Stephenson

¹Senior Lecturer in Child Health/Consultant Paediatrician, University of Leicester, Academic Division of Child Health, Health Education Research and Development Unit, Department of Medical Education and Social Care, Robert Kilpatrick Clinical Sciences Building, Leicester Royal Infirmary, Leicester LE2 7LXUK. ml103@le.ac.uk.

Expert Review of Pharmacoeconomics & Outcomes Research

|June 10, 2010

Summary

Developing pediatric emergency guidelines presents unique challenges, requiring problem-based approaches for initial diagnosis and management. Ensuring rigorous implementation is crucial for effective clinical care.

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Area of Science:

Pediatric Emergency Medicine
Clinical Guideline Development
Healthcare Management

Background:

Clinical guidelines aim for consistent, high-quality care, often diagnosis-specific.
Pediatric emergency departments frequently face undiagnosed patients upon presentation.
Junior doctors require decision support for initial patient assessment and management.

Purpose of the Study:

To review challenges in developing and implementing pediatric emergency guidelines.
To explore the utility of problem-based versus diagnosis-specific guidelines in pediatric emergency settings.
To suggest future research directions for guideline development and implementation.

Main Methods:

Literature review and synthesis of existing evidence on guideline development.
Analysis of adult-focused evidence and consensus approaches for pediatric application.
Discussion of systematic, transparent, and evidence-based guideline creation processes.

Main Results:

Problem-based guidelines offer decision pathways for undiagnosed pediatric emergency patients.
Diagnosis-specific guidelines may be more useful for experienced clinicians.
High-quality evidence for either guideline type in pediatrics is limited, often requiring extrapolation or consensus.

Conclusions:

Developing and implementing pediatric emergency guidelines requires systematic, transparent, and rigorous approaches.
The cost-effectiveness of guideline development necessitates robust implementation strategies.
Further research is needed to address evidence gaps and optimize guideline utility in pediatric emergency care.