Airway Management of Critically Ill Pediatric Patients with Suspected or Proven Coronavirus Disease 2019 Infection: An Intensivist Point of View
- PMID: 38571985
- PMCID: PMC10987222
- DOI: 10.1055/s-0041-1732345
Airway Management of Critically Ill Pediatric Patients with Suspected or Proven Coronavirus Disease 2019 Infection: An Intensivist Point of View
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.
Thieme. All rights reserved.
Conflict of interest statement
Conflict of Interest None declared.
Similar articles
-
Anaesthesiologist-intensivist phycisians at the core of the management of critically ill COVID-19 patients in Africa: persistent challenges, some resolved dilemma and future perspective.Pan Afr Med J. 2020 Dec 11;37(Suppl 1):44. doi: 10.11604/pamj.supp.2020.37.44.25234. eCollection 2020. Pan Afr Med J. 2020. PMID: 33552372 Free PMC article.
-
Management of COVID-19 in the Intensive Care Unit.Adv Exp Med Biol. 2021;1353:81-89. doi: 10.1007/978-3-030-85113-2_5. Adv Exp Med Biol. 2021. PMID: 35137369
-
Intensivist coverage and critically ill COVID-19 patient outcomes: a population-based cohort study.J Intensive Care. 2023 May 12;11(1):19. doi: 10.1186/s40560-023-00668-1. J Intensive Care. 2023. PMID: 37173766 Free PMC article.
-
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 Jul;131(1):61-73. doi: 10.1213/ANE.0000000000004872. Anesth Analg. 2020. PMID: 32287142 Free PMC article. Review.
-
Airway management in the critically ill patient with COVID-19.Curr Opin Anaesthesiol. 2022 Apr 1;35(2):137-143. doi: 10.1097/ACO.0000000000001101. Curr Opin Anaesthesiol. 2022. PMID: 35102046 Review.
References
-
- 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
-
- 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
-
- 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
Publication types
LinkOut - more resources
Full Text Sources