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All India Difficult Airway Association 2016 guidelines for the management of unanticipated difficult tracheal

Dilip K Pawar1, Jeson Rajan Doctor2, Ubaradka S Raveendra3

  • 1Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Anaesthesia
|December 23, 2016
PubMed

Insights

This guideline offers a structured approach for managing unanticipated difficult tracheal intubation in children aged 1-12 years. It aims to improve pediatric airway management safety by using evidence and expert consensus.

Area of Science:

  • Pediatric Anesthesiology
  • Airway Management
  • Critical Care Medicine

Background:

  • Unanticipated difficult tracheal intubation in children presents unique challenges due to their narrow safety margin.
  • Current pediatric difficult airway management often relies on adult data extrapolation, lacking specific evidence.
  • A systematic approach to pediatric airway management is needed in many regions.

Purpose of the Study:

  • To develop structured, stepwise guidelines for managing unanticipated difficult tracheal intubation in children aged 1-12 years.
  • To protocolize pediatric airway management using the best available evidence and expert consensus.
  • To enhance the safety of airway management for children in the country.

Main Methods:

  • Development of guidelines based on a review of existing literature and expert consensus.
  • Focus on a structured, stepwise approach for managing unanticipated difficult airway scenarios.
  • Adaptation of principles for pediatric patients aged 1 to 12 years.

Main Results:

  • The guidelines provide a clear, actionable framework for pediatric difficult airway management.
  • Recommendations address the specific physiological differences in pediatric patients.
  • The protocol aims to minimize adverse outcomes associated with difficult intubation.

Conclusions:

  • Implementation of these guidelines can standardize and improve the safety of pediatric airway management.
  • Evidence-based and consensus-driven recommendations are crucial for addressing pediatric airway emergencies.
  • These guidelines represent a significant step towards safer pediatric anesthesia practices in the country.

Keywords:
Paediatric airwaypaediatric guidelinesunanticipated difficult intubation

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