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Airway dimensions from fetal life to adolescence-A literature overview

Mital H Dave1, Kathrin Schmid1, Markus Weiss1

  • 1Department of Anesthesia and Children's Research Center, University Children's Hospital, Zürich, Switzerland.

Pediatric Pulmonology
|May 29, 2018
PubMed

Insights

This review found that existing data on pediatric airway dimensions are too varied to create clinical guidelines. More comprehensive studies are needed to establish reliable pediatric airway nomograms for equipment selection.

Area of Science:

  • Pediatric Anesthesiology
  • Medical Imaging
  • Anatomy

Background:

  • Accurate pediatric airway dimensions are crucial for selecting appropriate airway management devices.
  • Current data on pediatric airway dimensions are fragmented and lack standardization.

Purpose of the Study:

  • To synthesize existing data on pediatric airway dimensions.
  • To identify gaps in current research for clinical application.

Main Methods:

  • Systematic literature search across multiple databases (PubMed, Scopus, Embase, Web of Science, Prisma, Google Scholar).
  • Analysis of 109 studies published between 1923 and 2018.
  • Inclusion and exclusion criteria applied to select relevant studies.

Main Results:

  • Six measurement methods were identified: anatomical examination, X-ray, CT, MRI, bronchoscopy, and ultrasound.
  • Anatomical and CT studies are considered most reliable; ultrasound shows promise for neonates.
  • Significant heterogeneity in data presentation and study conditions hinders comparability.

Conclusions:

  • Existing studies on pediatric airway dimensions exhibit high heterogeneity, preventing the creation of clinical normograms.
  • There is a critical need for comprehensive studies in large pediatric populations to develop reliable airway dimension nomograms.
Abstract

Keywords:
airway & lung cell biologybronchoscopyimagingpulmonology (general)

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