Pediatric anesthesia & critical care
Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines
Methodological detailsGRADE methodology, PICO-guided structured literature search
- GRADE methodology
- PICO-guided structured literature search
Recommendations
As issued by the authors
- 1C
Use medical history and physical examination to predict difficult airway management
- 1B
Ensure adequate level of sedation or GA during airway management
- 1C
Administer neuromuscular blocker before tracheal intubation when spontaneous breathing is not necessary
- 1B
Use a videolaryngoscope with an age-adapted standard blade as first choice for tracheal intubation
- 1B
Apply apnoeic oxygenation during tracheal intubation in neonates
- 1B
Consider a SGA for rescue oxygenation and ventilation when tracheal intubation fails
- 1C
Limit the number of tracheal intubation attempts
- 1C
Use a stylet to reinforce and preshape tracheal tubes when hyperangulated videolaryngoscope blades are used and when the larynx is anatomically anterior
- 1C
Verify intubation is successful with clinical assessment and end-tidal CO2 waveform
- 1B
Apply high-flow nasal oxygenation, CPAP or nasal intermittent positive pressure ventilation for postextubation respiratory support, when appropriate
Original publication
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