小児気道管理における安全な麻酔のための実践的ガイダンスと推奨事項
Daniel Pérez-Ajami1, Francisco Escribá Alepuz2, José Daniel Jiménez Santana1
1Médico especialista en Anestesiología y Reanimación, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Abstract:
Advanced airway management in pediatric anesthesia has undergone substantial development with the incorporation of emerging technologies and strategies tailored to the unique anatomy and physiology of children. This review provides a critical appraisal of the clinical utility of tools such as videolaryngoscopy, high-flow nasal cannula oxygen therapy, and supraglottic devices, as well as specific techniques including the Bailey maneuver, fiberoptic-assisted intubation, and one-lung ventilation. Relevant studies published up to March 2025 were identified through searches in PubMed, Embase, Scopus, and Web of Science. Current evidence supports the use of these resources to enhance safety and effectiveness in complex scenarios, underscoring the importance of individualized device selection and specialized training. The integration of these strategies into tailored protocols represents a key step toward optimizing airway management in pediatric patients.
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