[Endotracheal intubation in pediatric patients]

Dtsch Med Wochenschr. 2016 Sep;141(19):1409-12. doi: 10.1055/s-0042-113304. Epub 2016 Sep 19.
[Article in German]

Abstract

Procedure of intubation of children is different to intubation in adults and requires specific considerations. Before intubation management of difficult airway problems should be anticipated. Risk of developing hypoxia is common in children usually due to a reduced apnea tolerance and demands skill of the medical team. Due to soft tissues of the upper airways and the V-shaped epiglottis several laryngoscopes are available. Attention should be kept on a physiological subglottic stenosis, which determines the size of the endotracheal tube. Beyond neonatal period cuffed tubes can be applied when cuff pressure is regularly monitored. Long time complications of traumatic intubations comprise subglottic stenosis or granulomas.

MeSH terms

  • Adult
  • Child
  • Humans
  • Infant, Newborn
  • Intubation, Intratracheal*