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Chapter 18 - Airway Management Outside of the Operating Room: the Emergency Department

from Section 3 - Special Topics

Published online by Cambridge University Press:  10 September 2019

Narasimhan Jagannathan
Affiliation:
Northwestern University Medical School, Illinois
John E. Fiadjoe
Affiliation:
Children’s Hospital of Philadelphia
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Summary

For pediatric patients, tracheal intubation in the ED is a fundamental lifesaving procedure, but one that occurs with a much lower frequency than other care areas in the hospital. The challenges associated with intubation of a pediatric patient in the ED relate to a variety of aspects of the procedure, including the underlying epidemiology, the uniformly higher level of acuity than other settings, and actual or potential underlying pathophysiology that directly impacts decision-making with regard to airway management. This chapter will review these phenomena, with particular attention to choice and application of medications for facilitating intubation, as well as several typical pathophysiologic states that lead to the need for ED airway management in children.

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Publisher: Cambridge University Press
Print publication year: 2019

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References

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