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Oral endotracheal intubation in pediatric anesthesia
Anesth Pain Med 2018;13(3):241-7
Published online July 31, 2018
© 2018 The Korean Society of Anesthesiologists.

Sang Hun Kim1,2 and Tae Hun An1,2
Department of Anesthesiology and Pain Medicine, 1Chosun University Hospital, 2Chosun University School of Medicine, Gwangju, Korea
Correspondence to: Tae Hun An, M.D., Ph.D. Department of Anesthesiology and Pain Medicine, Chosun University Hospital, 365 Pilmun-daero, Donggu, Gwangju 61453, Korea Tel: 82-62-220-3223 Fax: 82-62-223-2333 E-mail: than@chosun.ac.kr ORCID http://orcid.org/0000-0002-7405-0073
Received April 10, 2018; Revised April 18, 2018; Accepted April 23, 2018.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Pediatric airway management has been both an integral part of routine anesthesia practice and one of its greatest challenges. Traditionally, it has been thought that the pediatric larynx is funnel-shaped, with the narrowest portion being situated at the cricoid cartilage; the choice of endotracheal tube type, size and insertion depth has been based on this concept. Uncuffed endotracheal tubes have typically been advocated for children younger than 8 years. However, it has recently been determined that the pediatric larynx is conical-shaped, with the narrowest portion of the larynx being situated at the rima glottidis. Therefore, there has been a shift in pediatric airway management, and cuffed tubes have been used without significant differences in post-extubation complication rates. It is critical to use the appropriate type and size of endotracheal tube, as well as to ensure proper insertion depth and adequate visualization of airway structures. Here, we introduce and discuss the optimal type, size, and insertion depth of endotracheal tube, and compare direct and video laryngoscopy.
Key Words : Airway management, Anesthesia, Intratracheal intubation, Pediatrics.


July 2018, 13 (3)
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