Pediatrica intensiva: Art & Science of Pediatric Critical Care5 Des 2024

Difficult Airways w Akira Nishisaki & Doug Atkinson

Airway management remains the single highest risk time for our patients in pediatric ICU. Different studies of pediatric airway management report first pass success as low as 50%. Rates of severe desaturation as high as 20%, and significant rates of cardiac arrest ranging from two to 15% in the 30 minute peri intubation window alone. A difficult airway might be anticipated or unanticipated and is not just difficult endotracheal intubation, but also difficulties with mask ventilation. supraglottic airway devices, difficult rescue techniques including front of neck access and physiologically difficult airways, which we covered in previous episodes.

The good news is that the attention our community has been paying to these issues has reduced the rates of endo tracheal intubation (ETI) associated adverse events significantly, but there's still a long way to go. We are joined by Akira Nishisaki from NEAR 4 Kids & CHOP which has been one of the main drivers of improvements in this space for almost 20 years and who has an incredible knowledge of the literature and Doug Atkinson a pediatric anesthesiologist and cardiac intensivist from Boston Children's Hospital.

As always, we focus on how our expert panel do things in practice at their institutions whilst being aware of the evidence.

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Episoder(28)

Anyone Got a Map? Life after PICU with Joseph Manning WFPICCS collaboration

The second in our collaboration with WFPICCS (the World Federation of Pediatric Intensive and Critical Care Societies) showcasing the talks to look forward to at WFPICCS 2026 in Melbourne, September 2...

16 Sep 1h 9min

Two Journeys, One Path — Parents Hold the Key to PICU Recovery: WFPICCS 2026 Preview

A collaboration with WFPICCS (the World Federation of Pediatric Intensive and Critical Care Societies) showcasing the talks you can look forward to at WFPICCS 2026 in Melbourne, September 27–30. This ...

1 Aug 1h 5min

Peter Laussen — 50 Years of Fontan, and What Comes Next

In the second episode of our Fontan at 50 short season with @PCICS, Dr. Peter Laussen (Boston Children's Hospital) joins Greg and Deanna Tzanetos for the long view on how the Fontan evolved and where ...

23 Apr 44min

Surviving is Not Enough - Thriving with the Fontan: 50+ Years of Fontan-Kreutzer Season

The first in a 4 part collaboration with PCICS (the Pediatric Cardiac Intensive Care Society) honoring 50 plus years of the Fontan-Kreutzer Operation and asking "How did we get here, and where are we ...

9 Mar 42min

Airways That Scare Me - Respiratory Instability w Robi Khemani

This season is about airway management or airways that scare me and this episode, we discuss the respiratory unstable patient or the patient who's a "physiologically difficult airway" because they ha...

11 Jul 202455min

Complex Airway Surgery - Airways That Scare Me

Children with complex airway surgery are airways that truly scare us. Though a small number of patients in pedsICU, they can stay a long time and are at risk of death and morbidity from their underlyi...

5 Feb 202458min

Airways That Scare Me - Shock Part 2

Airway Management remains the single highest risk time for our patients in pedsICU & pedsCICU. We've known about problems for long time, but finally gaining attention, new ways of thinking & new ways ...

11 Okt 202348min