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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Difficult or impossible facemask ventilation in children with difficult tracheal intubation: a retrospective analysis of the PeDI registry
British Journal of Anaesthesia, Volume 131, No. 1, Year 2023
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Description
Background: Difficult facemask ventilation is perilous in children whose tracheas are difficult to intubate. We hypothesised that certain physical characteristics and anaesthetic factors are associated with difficult mask ventilation in paediatric patients who also had difficult tracheal intubation. Methods: We queried a multicentre registry for children who experienced “difficult” or “impossible” facemask ventilation. Patient and case factors known before mask ventilation attempt were included for consideration in this regularised multivariable regression analysis. Incidence of complications, and frequency and efficacy of rescue placement of a supraglottic airway device were also tabulated. Changes in quality of mask ventilation after injection of a neuromuscular blocking agent were assessed. Results: The incidence of difficult mask ventilation was 9% (483 of 5453 patients). Infants and patients having increased weight, being less than 5th percentile in weight for age, or having Treacher-Collins syndrome, glossoptosis, or limited mouth opening were more likely to have difficult mask ventilation. Anaesthetic induction using facemask and opioids was associated with decreased risk of difficult mask ventilation. The incidence of complications was significantly higher in patients with “difficult” mask ventilation than in patients without. Rescue placement of a supraglottic airway improved ventilation in 71% (96 of 135) of cases. Administration of neuromuscular blocking agents was more frequently associated with improvement or no change in quality of ventilation than with worsening. Conclusions: Certain abnormalities on physical examination should increase suspicion of possible difficult facemask ventilation. Rescue use of a supraglottic airway device in children with difficult or impossible mask ventilation should be strongly considered. © 2023 The Author(s)
Authors & Co-Authors
Stricker, Paul A.
Unknown Affiliation
Nishisaki, Akira
Unknown Affiliation
Olomu, Patrick Nduyari
Unknown Affiliation
Whyte, Simon David
Unknown Affiliation
Bösenberg, Adrian Thomas
Unknown Affiliation
Low, Daniel King Wai
Unknown Affiliation
Watkins, Scott Christopher
Unknown Affiliation
Echeverry Marín, Piedad Cecilia
Unknown Affiliation
Pérez-Pradilla, Carolina
Unknown Affiliation
von Ungern-Sternberg, Britta S.
Unknown Affiliation
de Graaff, J. C.
Unknown Affiliation
Statistics
Citations: 3
Authors: 11
Affiliations: 7
Identifiers
Doi:
10.1016/j.bja.2023.02.035
ISSN:
00070912
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Study Approach
Quantitative