Pediatric anesthesia & critical care
Awake Supraglottic Airway Placement in Pediatric Patients for Airway Obstruction or Difficult Intubation: Insights From an International Airway Registry (PeDI)
Authors' conclusion
Although infrequently attempted, awake placement of a supraglottic airway in children with difficult airways achieved adequate ventilation and provided a conduit for oxygenation and ventilation after induction of anesthesia across a spectrum of ages.
Study context
- Population
- Children with airway obstruction or difficult intubation who had awake supraglottic airway placement before planned tracheal intubation, Pediatric Difficult Intubation Registry, August 2012 to September 2023of 8061 registry cases
- Participants
- 95 children
- Outcome
- Success of ventilation via supraglottic airway
Methodological detailsinternational multicentre registry, descriptive
- International multicentre registry
- Descriptive
Main finding
As reported in the abstract
Adequate ventilation via SGA, 81/95 encounters
85%
95% CI 77%–93%
Inadequate (n = 13) or impossible (n = 1) ventilation, 14/95
15%
Observational data: associations, not effects.
Further findings
Subsequent tracheal intubation success
- First-attempt success (33/95)
- 35%
- Eventual success (94/95)
- 99%
- Patient awakened after failed intubation attempts
- 1
Hypoxia during first intubation attempt, by SGA ventilation adequacy (subgroup)
- Adequate SGA ventilation (4/81)
- 5%
- Inadequate or impossible SGA ventilation (5/14)
- 36%
Safety
Complications with SGA placement
- No complications reported
Hypoxia during first intubation attempt
- Hypoxia (9/95 encounters)
- 9%
Original publication
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