Virtual Pediatric Hospital: ElectricAirway: Upper Airway Problems in Children: Discussion of Treatment of Acute Airway Obstruction
ElectricAirway: Upper Airway Problems in Children
Discussion of Treatment of Acute Airway Obstruction
Donna M. Santer, M.D., Michael P. D'Alessandro, M.D.
Peer Review Status: Externally Peer Reviewed by Lauren D Holinger, MD, Robert J. Winter, MD and the AMA
If a child acutely obstructs his airway and respiratory arrest occurs, attempt to position the child to open the airway using the chin-lift or jaw thrust maneuvers. Assess the adequacy of this maneuver, as the child may be only partially obstructed and positioning may be all that is needed. If this is inadequate, begin bag and mask ventilation with 100% oxygen, and again re-evaluate for patency of the airway. If this also fails, emergency intubation with an uncuffed small size endotracheal tube should be tried. If this cannot be accomplished, an emergency cricothyrotomy should be performed. (Chameides, Leon, ed., Textbook of Pediatric Advanced Life Support, American Heart Association and American Academy of Pediatrics, Dallas, TX, 1988, pp. 21-36.)
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