Acute upper airway obstruction presents an immediate threat to life. Following loss of the upper airway, hypoxemia with resultant cardiac arrest and death can ensue within minutes. Inspiratory stridor (a harsh, usually high–pitched sound) is the hallmark of upper airway obstruction. This is not to say, however, that upper airway obstruction cannot occur in the absence of stridor, because profound degrees of obstruction may manifest silently if airflow is nearly absent. When confronted with a child who has acute upper airway obstruction, the practitioner must assess the degree of obstruction quickly and accurately. The possibility of progression to complete airway obstruction with hypoxemia and cardiac arrest must be appreciated. Delaying intervention in a child whose airway is unstable may be costly, but unnecessary instrumentation in a child who has stable upper airway obstruction may precipitate a crisis.
Continuous Positive Airway Pressure Airway Obstruction Pediatric Intensive Care Unit Laryngeal Mask Airway Difficult Airway
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American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2003;98(5):1269–77.CrossRefGoogle Scholar
Borland LM, Colligan J, Brandom BW. Frequency of anesthesia-related complications in children with Down syndrome under general anesthesia for noncardiac procedures. Paediatr Anaesth. 2004;14(9):733–8.PubMedCrossRefGoogle Scholar
Chaten FC, Lucking SE, Young ES, et al. Stridor: intracranial pathology causing postextubation vocal cord paralysis. Pediatrics. 1991;87:39.PubMedGoogle Scholar
Coté CJ, Hartnick CJ. Pediatric transtracheal and cricothyrotomy airway devices for emergency use: which are appropriate for infants and children? Paediatr Anaesth. 2009;19 Suppl 1:66–76.PubMedGoogle Scholar