Related Experiment Video
Updated: Jun 11, 2025
11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
17.5K
Anesthesia for Posterior Tracheopexy in Pediatric Patients
Carlos J Muñoz1, Frederick H Kuo1, Michael R Hernández2
1From the Department of Anesthesia and Pain Medicine, Johns Hopkins All Children's Hospital, St Petersburg, Florida.
Anesthesia and Analgesia
|October 4, 2024
Summary
Pediatric tracheobronchomalacia (TBM) management has improved with novel surgical and anesthesia techniques. Posterior tracheopexy and advanced diagnostic methods enhance patient safety and outcomes in complex airway cases.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Respiratory Medicine
Background:
- Tracheobronchomalacia (TBM) is a significant cause of morbidity and mortality in children.
- Historically, limited treatment options led to poor patient outcomes.
- Recent advancements in pediatric surgical and anesthesia care have transformed TBM management.
Purpose of the Study:
- To review the posterior tracheopexy procedure for pediatric TBM.
- To discuss anesthesia considerations and challenges in TBM surgery.
- To describe novel anesthesia techniques for diagnosis and intraoperative management.
Main Methods:
- Review of posterior tracheopexy procedure.
- Description of anesthesia techniques for dynamic bronchoscopy, nerve monitoring, and intraoperative assessment.
- Analysis of outcomes from over 800 cases at two US pediatric institutions.
Main Results:
- Novel anesthesia techniques improve safety and optimize outcomes for TBM surgery.
- Advanced diagnostic methods like 3-phase rigid dynamic bronchoscopy enhance accuracy.
- Posterior tracheopexy is an increasingly common and successful surgical correction.
Conclusions:
- Collaborative efforts between surgery and anesthesia have significantly improved pediatric TBM care.
- Specialized teams and techniques are crucial for managing complex pediatric airway disorders.
- These advancements offer better patient safety and successful correction of TBM.
More Related Videos
Related Concept Videos
01:16Tracheostomy Care I: Pre-procedural Steps
138
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
138
01:26Tracheostomy Suctioning I: Pre-Procedural Steps
445
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
445
01:24General Anesthesia: Overview
196
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
196
01:17Endotracheal Intubation II: Nursing Management
517
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
517
01:28Tracheostomy: Procedure and Tubes
438
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
438
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
2
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
2