Haag, Anna-Katharina; Tredese, Alberto; Bordini, Martina; Fuchs, Alexander; Greif, Robert; Matava, Clyde; Riva, Thomas; Scquizzato, Tommaso; Disma, Nicola (2024). Emergency front-of-neck access in pediatric anesthesia: A narrative review. Paediatric anaesthesia, 34(6), pp. 495-506. Wiley 10.1111/pan.14875
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Pediatric_Anesthesia_-_2024_-_Haag_-_Emergency_front_of_neck_access_in_pediatric_anesthesia__A_narrative_review.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (2MB) | Preview |
BACKGROUND AND OBJECTIVES
Children undergoing airway management during general anesthesia may experience airway complications resulting in a rare but life-threatening situation known as "Can't Intubate, Can't Oxygenate". This situation requires immediate recognition, advanced airway management, and ultimately emergency front-of-neck access. The absence of standardized procedures, lack of readily available equipment, inadequate knowledge, and training often lead to failed emergency front-of-neck access, resulting in catastrophic outcomes. In this narrative review, we examined the latest evidence on emergency front-of-neck access in children.
METHODS
A comprehensive literature was performed the use of emergency front-of-neck access (eFONA) in infants and children.
RESULTS
Eighty-six papers were deemed relevant by abstract. Finally, eight studies regarding the eFONA technique and simulations in animal models were included. For all articles, their primary and secondary outcomes, their specific animal model, the experimental design, the target participants, and the equipment were reported.
CONCLUSION
Based on the available evidence, we propose a general approach to the eFONA technique and a guide for implementing local protocols and training. Additionally, we introduce the application of innovative tools such as 3D models, ultrasound, and artificial intelligence, which can improve the precision, safety, and training of this rare but critical procedure.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy 04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy > Partial clinic Insel |
UniBE Contributor: |
Haag, Anna-Katharina, Fuchs, Alexander Fabian, Greif, Robert |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1460-9592 |
Publisher: |
Wiley |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
11 Mar 2024 14:25 |
Last Modified: |
27 Apr 2024 00:15 |
Publisher DOI: |
10.1111/pan.14875 |
PubMed ID: |
38462998 |
Uncontrolled Keywords: |
difficult airway emergency front-of-neck access (eFONA) oxygenation pediatric airway management tracheostomy |
BORIS DOI: |
10.48350/194119 |
URI: |
https://boris.unibe.ch/id/eprint/194119 |
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