Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jul 26;13(1):1-6.
doi: 10.1055/s-0041-1732345. eCollection 2024 Mar.

Airway Management of Critically Ill Pediatric Patients with Suspected or Proven Coronavirus Disease 2019 Infection: An Intensivist Point of View

Affiliations
Review

Airway Management of Critically Ill Pediatric Patients with Suspected or Proven Coronavirus Disease 2019 Infection: An Intensivist Point of View

Franco Díaz et al. J Pediatr Intensive Care. .

Abstract

Advanced airway management of critically ill children is crucial for novel coronavirus disease 2019 (COVID-19) management in the pediatric intensive care unit, whether due to shock and hemodynamic collapse or acute respiratory failure. In this article, intubation is challenging due to the particularities of children's physiology and the underlying disease's pathophysiology, especially when an airborne pathogen, like COVID-19, is present. Unfortunately, published recommendations and guidelines for COVID-19 in pediatrics do not address in-depth endotracheal intubation in acutely ill children. We discussed the caveats and pitfalls of intubation in critically ill children.

Keywords: COVID-19; intubation; pediatric intensive care unit; pediatrics.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

Similar articles

References

    1. European Society of Pediatric and Neonatal Intensive Care (ESPNIC) Scientific Sections' Collaborative Group . Rimensberger P C, Kneyber M CJ, Deep A et al.Caring for critically ill children with suspected or proven coronavirus disease 2019 infection: recommendations by the scientific sections' collaborative of the european society of pediatric and neonatal intensive care. Pediatr Crit Care Med. 2021;22(01):56–67. - PMC - PubMed
    1. Álvarez Z P, Larios G G, Toro R L et al.Recommendation for the recognition, management and follow up of cardiovascular compromise in patients with pediatric multisystemic inflammatory syndrome associated with COVID-19 (PIMS-CT). Position statement of Chilean Scientific Societies [in Spanish] Rev Chil Pediatr. 2020;91(06):982–990. - PubMed
    1. Carlotti A PCP, Carvalho W B, Johnston C, Rodriguez I S, Delgado A F. COVID-19 diagnostic and management protocol for pediatric patients. Clinics (São Paulo) 2020;75:e1894. - PMC - PubMed
    1. Kache S, Chisti M J, Gumbo F et al.COVID-19 PICU guidelines: for high- and limited-resource settings. Pediatr Res. 2020;88(05):705–716. - PMC - PubMed
    1. PeDI-Collaborative . Matava C T, Kovatsis P G, Lee J K et al.Pediatric airway management in COVID-19 patients: consensus guidelines from the Society for Pediatric Anesthesia's Pediatric Difficult Intubation Collaborative and the Canadian Pediatric Anesthesia Society. Anesth Analg. 2020;131(01):61–73. - PMC - PubMed