Advertisement

Canadian Journal of Anaesthesia

, Volume 34, Issue 1, pp 90–98 | Cite as

Continuing medical education article

Airway obstruction in infants and children
  • J. Michael Badgwell
  • M. Elizabeth McLeod
  • Jacob Friedberg
Article

Conclusion

Airway obstruction in infants and children is frequently a life-threatening situation. With proper management of the airway based on a knowledge of the disease process and a knowledge of the various intubating techniques available, morbidity and mortality in these patients can be minimized.

Keywords

Foreign Body Airway Obstruction Vocal Cord Paralysis Spontaneous Ventilation Croup 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Eckenhoff J.E. Some anatomic considerations of the infant larynx influencing endotracheal anaesthesia. Anesthesiology. 1951;12:401–10.PubMedCrossRefGoogle Scholar
  2. 2.
    Hill D.W. Physics applied to anaesthesia. 4th edition. London, Butterworths. 1980; 170–9.Google Scholar
  3. 3.
    Robison P, Andrassay R.J. Heimleich maneuver in children. Texas Med. 1985; 81: 60–1.Google Scholar
  4. 4.
    Basic life support in infants and children: standards for CPR and emergency cardiac care (ECC). JAMA. 1980; 244: 472–8.Google Scholar
  5. 5.
    HolingerP.H., Brown W.T.. Congenital webs, cysts, laryngoceles, and other anomalies of the larynx. Ann Otol Rhinol Laryngol. 1967; 76: 744–52.Google Scholar
  6. 6.
    Milestone C.D., Delerme A.N., Samuelson G.H. Airway obstruction due to vocal cord paralysis in infants with hydrocephalus and meningomyelocele. Ann Oto Rhinol Laryngol. 1972; 81: 778–83.Google Scholar
  7. 7.
    Smith R.J.H., Catlin F.I. Congenital anomalies of the larynx. Am J Dis Child. 1984; 138: 35–9.PubMedGoogle Scholar
  8. 8.
    Littler E.R. Asphyxia due to hemangioma in trachea. J Thoracic Cardiovasc Surg. 1963; 45; 552–8.Google Scholar
  9. 9.
    Cohen S.R., Eavey R.D., Desmond M.S., May B.C. Endoscopy and tracheotomy in the neonatal period. Ann Otol Rhinol Laryngol. 1977; 86: 577–83.PubMedGoogle Scholar
  10. 10.
    Arthurton M.W. Stridor in a pediatric department. Proc R Soc Med. 1970; 63: 712–4.PubMedGoogle Scholar
  11. 11.
    Diaz J.H. Croup and epiglottitis in children: the anesthesiologist as diagnostician. Anesth Analg. 1985; 64: 621–33.PubMedCrossRefGoogle Scholar
  12. 12.
    Stankiewicz J.A., Bowes A.K. Croup and epiglottitis: a radiological study. Laryngoscope. 1985; 95: 1159–60.PubMedCrossRefGoogle Scholar
  13. 13.
    Cantrell R.W., Bell R.A., MoriokaWT. Acute epiglottitis: intubation versus tracheostomy. Laryngoscope. 1978; 88: 994–1005.PubMedCrossRefGoogle Scholar
  14. 14.
    Barker G.A. Current management of croup and epiglottitis. Pediatr Clin. 1979; 26: 565–79.Google Scholar
  15. 15.
    Crysdale W.S., Sendi K. Acute epiglottitis — decade of change. Can J Otol (in press)Google Scholar
  16. 16.
    Dowries J.J. Pediatric intensive care.In: 1974 Annual Refresher Course Lecture, American Society of Anesthesiologists Annual Meeting, 1974, p. 118.Google Scholar
  17. 17.
    Maze A., Bloch E. Stridor in pediatric patients: a review. Anesthesiology. 1979; 50: 132–45.PubMedCrossRefGoogle Scholar
  18. 18.
    Soap and Detergent Association. Invitational symposium on predictive assessment of corrosive effects of ingesting household products. October 25–26, 1973.Google Scholar
  19. 19.
    Blazer S., Naveh Y., Freidman A. Foreign body in the airway: a review of 200 cases. Am J Dis Child. 1980; 134: 68–72.PubMedGoogle Scholar
  20. 20.
    Gay B.B., Atkinson G.D., Vanderzalm T., Harmon J.D., Porubsky E.S. Subglottic foreign bodies in pediatric patients. Am J Dis Child. 1986; 140: 165–8.PubMedGoogle Scholar
  21. 21.
    Harris H.H. Management of injuries to the larynx and trachea. Laryngoscope. 1972; 82: 1925–9.CrossRefGoogle Scholar
  22. 22.
    Duncan P.G. Efficacy of helium-oxygen mixtures in the management in severe viral and post-intubation croup. Can Anaesth Soc J. 1979; 26: 206–12.PubMedCrossRefGoogle Scholar
  23. 23.
    Butt W.W., Koren G., England S., Shear N.H., Whyte H., Bryan C.A., Swyer P.R. Hypoxia associated with helium-oxygen therapy in neonates. J Pediatr. 1985; 106: 474–6.PubMedCrossRefGoogle Scholar
  24. 24.
    Alfery D.D., Ward C.F., Harwood l.R., Mannino F.L. Airway management for a neonate with congenital fusion of the jaws. Anesthesiology. 1979; 51: 340–2.PubMedCrossRefGoogle Scholar
  25. 25.
    Stiles C.M. A flexible fiberoptic bronchoscope for endotracheal intubation in infants. Anesth Analg. 1974; 53:1017–9.PubMedCrossRefGoogle Scholar
  26. 26.
    Filston H.C., Johnson D.G., Crumrine R.S. Infant tracheostomy. Am J Dis Child. 1978; 132: 1172–6.PubMedGoogle Scholar
  27. 27.
    Friedberg J., Morrison M.D. Paediatric tracheotomy. Can J Otol. 1974; 3: 147–55.Google Scholar
  28. 28.
    Brantigan C.O., Grow J.B. Cricothyroidotomy: elective use in respiratory problems requiring tracheotomy. J Thorac Cardiovasc Surg. 1976; 71: 81.Google Scholar

Copyright information

© Canadian Anesthesiologists 1987

Authors and Affiliations

  • J. Michael Badgwell
    • 1
  • M. Elizabeth McLeod
    • 1
  • Jacob Friedberg
    • 1
  1. 1.Departments of Anaesthesia and Otolaryngology (J.F.)The Hospital for Sick Children and the University of TorontoToronto

Personalised recommendations