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Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Endotracheal Tube Extubation01:24

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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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...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Endotracheal Intubation II: Nursing Management01:17

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Guidelines for Elective Pediatric Fiberoptic Intubation
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Unplanned Post-Operative Pediatric Intensive Care Unit Admissions After Elective Upper Airway Procedures: A

Hayes Stancliff1, Michelle M Basilious2, Lisa R Yoder3

  • 1Department of Medical Education, Pennsylvania State College of Medicine, Hershey, Pennsylvania, USA.

Paediatric Anaesthesia
|April 11, 2026
PubMed
Summary
This summary is machine-generated.

Prior neonatal intensive care unit admission is a key predictor of unplanned pediatric intensive care unit admission after elective airway surgery. Identifying risk factors like ASA status and chronic lung disease can improve patient care planning.

Keywords:
intensive care unitsobstructive sleep apneapediatricpediatric anesthesiapostoperative complicationsrisk assessment

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Area of Science:

  • Pediatric Anesthesiology
  • Pediatric Critical Care
  • Surgical Risk Assessment

Background:

  • Elective pediatric airway surgeries are common but can lead to unplanned pediatric intensive care unit (PICU) admissions.
  • Unplanned PICU admissions increase healthcare complexity and resource utilization.

Purpose of the Study:

  • To identify perioperative risk factors for unplanned PICU admission after elective pediatric upper airway surgery.
  • To inform risk stratification and resource planning for these procedures.

Main Methods:

  • Retrospective case-control study at a tertiary care center (January 2017 - June 2022).
  • Matched 22 cases of unplanned PICU admission with 44 controls based on procedure, age, and surgery date.
  • Compared demographic, clinical, and perioperative variables.

Main Results:

  • Higher apnea-hypopnea index noted in the unplanned PICU admission group (p=0.033).
  • Unadjusted analysis showed increased odds of unplanned PICU admission with ASA status >2 (OR 7.92), prior NICU admission (OR 23.19), chronic lung disease (OR 14.00), and longer operative duration (p<0.05).
  • Multivariable analysis identified prior neonatal intensive care unit (NICU) admission as the only independent predictor (aOR 14.65, p=0.034).

Conclusions:

  • Perioperative risk factors including ASA status >2, chronic lung disease, prior NICU admission, and operative duration are associated with unplanned PICU admissions.
  • Prior NICU admission is the strongest predictor of unplanned PICU admission post-airway surgery.
  • Identifying these risks aids in perioperative risk stratification and postoperative resource allocation.