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Congenital Airway Anomalies

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Pediatric Critical Care Medicine

Abstract

Management of the pediatric airway in the pediatric intensive care unit (PICU) carries the inherent potential of becoming problematic. Practitioners must balance the immediate respiratory and ventilator needs of the patient with the potentially detrimental long-term sequelae of their management choices. The presence of congenital airway anomalies compounds this problem, making it more difficult to secure and maintain an adequate airway. Early identification of these anomalies can assist the practitioner in developing strategies to safely secure the airway, provide adequate ventilation, and mitigate complications. This chapter presents an overview of airway management in critically ill infants, with particular emphasis on infants and children with anatomic airway anomalies. The specific anomalies described include retrognathia, laryngomalacia, vocal cord paralysis, subglottic stenosis, posterior laryngeal cleft, vascular compression, and complete tracheal rings.

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Correspondence to Michael J. Rutter FRACS .

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© 2014 Springer-Verlag London

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Rutter, M.J., Provenzano, M.J. (2014). Congenital Airway Anomalies. In: Wheeler, D., Wong, H., Shanley, T. (eds) Pediatric Critical Care Medicine. Springer, London. https://doi.org/10.1007/978-1-4471-6356-5_3

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  • DOI: https://doi.org/10.1007/978-1-4471-6356-5_3

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6355-8

  • Online ISBN: 978-1-4471-6356-5

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