Pediatric anesthesia & critical care
Difficult or impossible facemask ventilation in children with difficult tracheal intubation: a retrospective analysis of the PeDI registry
Authors' conclusion
Certain abnormalities on physical examination should increase suspicion of possible difficult facemask ventilation.
Study context
- Population
- Children with difficult tracheal intubation in the PeDI registry
- Participants
- 5,453 children
- Outcome
- Difficult or impossible facemask ventilation
Methodological detailsmulticentre registry, regularised multivariable regression analysis
- Multicentre registry
- Regularised multivariable regression analysis
Main finding
As reported in the abstract
Incidence of difficult mask ventilation
Incidence of difficult mask ventilation
9%
483 of 5453
Observational data: associations, not effects.
Further findings
Rescue SGA placement
- Improved ventilation
- 71% (96 of 135)
Quality of ventilation after NMBA
- More frequently associated with improvement or no change than with worsening
Safety
Complications
- Significantly higher with difficult mask ventilation than without
Original publication
Difficult or impossible facemask ventilation in children with difficult tracheal intubation: a retrospective analysis of the PeDI registry. Br J Anaesth. Published 17 April 2023. doi:10.
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