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Pediatrica intensiva: Art & Science of Pediatric Critical CareAuthor: Pediatrica Intensiva
Bridging the gap between literature and practice in pediatric intensive care. Featuring guests from around the world and pediatric intensive care specialists Greg Kelly (Westmead Children's Hospital Sydney), Peta Alexander (Boston Children's Hospital), Karen Choong (McMaster Children's Hospital Canada) and Mike Clifford (Royal Children's Hospital Melbourne) Pediatrica intensiva wont tell you the answers, because no one knows what they are, but we can give you a chance to hear respected experts talk about what they actually do with some of the toughest problems in our field. Rather than having short episodes on a topic, we have whole seasons. And that gives us the chance to go deep. We really hope that you find it helpful - please listen and subscribe to Pediatrica intensiva wherever you listen to podcasts and follow us on iTunes and Twitter (https://twitter.com/PedsIntensiva), share with your friends and reach out with any feedback, requests or comments. Of course, information in the podcast is not meant to replace the advice of a health professional and is in no way a substitute for the relationship between a patient and his/her/their own physician Language: en Genres: Health & Fitness, Life Sciences, Medicine, Science Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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Difficult Airways w Akira Nishisaki & Doug Atkinson
Episode 7
Thursday, 5 December, 2024
Airway management remains the single highest risk time for our patients in pediatric ICU. Different studies of pediatric airway management report first pass success as low as 50%. Rates of severe desaturation as high as 20%, and significant rates of cardiac arrest ranging from two to 15% in the 30 minute peri intubation window alone. A difficult airway might be anticipated or unanticipated and is not just difficult endotracheal intubation, but also difficulties with mask ventilation. supraglottic airway devices, difficult rescue techniques including front of neck access and physiologically difficult airways, which we covered in previous episodes. The good news is that the attention our community has been paying to these issues has reduced the rates of endo tracheal intubation (ETI) associated adverse events significantly, but there's still a long way to go. We are joined by Akira Nishisaki from NEAR 4 Kids & CHOP which has been one of the main drivers of improvements in this space for almost 20 years and who has an incredible knowledge of the literature and Doug Atkinson a pediatric anesthesiologist and cardiac intensivist from Boston Children's Hospital. As always, we focus on how our expert panel do things in practice at their institutions whilst being aware of the evidence.
