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 underlying conditions, co-existing conditions, their treatment and ICU acquired problems. Managing these patients requires a high level of understanding, communication and teamwork between ENT/ORL, ICU, anesthesia, cardiothoracic surgery and numerous other teams.
We’re going to cover the working up and investigation of patients transfers. The kind of conditions that are treated ranging from severe stenoses to severe malacias. What the surgeons actually do what they want us to know and how it can best work together between ICU and surgical team. We’re also going to cover how we maintain these patients in the ICU, how we progress them, forwards, how we investigate problems and how we get the next debated and keep them safe.
Featuring special guests ORL surgeon and innovator David Zopf and Ryan Barbaro from University of Michigan and regular hosts @drpetaalexander @BostonChildrens @drgregkelly @SCHNkids and Mike Clifford @RCH
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Selected references
1.Sengupta, A. & Murthy, R. A. Congenital tracheal stenosis & associated cardiac anomalies: operative management & techniques. J. Thorac. Dis. 12, 1184–1193 (2019).
2.HAMMER, G. B. Sedation and analgesia in the pediatric intensive care unit following laryngotracheal reconstruction. Pediatr. Anesthesia 19, 166–179 (2009).
3.Lee, A. J. et al. Anesthesia for laryngotracheal reconstruction in children: A narrative review. Pediatr. Anesthesia 33, 883–893 (2023).
4.Kou, Y.-F., Rutter, M. J., Sandu, K. & Guilcher, P. Pediatric Open Airway Reconstruction. Curr. Otorhinolaryngol. Rep.9, 37–51 (2021).
5. Sidell, D. R. et al. International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Evaluation and management of congenital tracheal stenosis. Int. J. Pediatr. Otorhinolaryngol. 161, 111251 (2022).
Season 4, Episode 4
Published: February 12, 2024
Run time: 58 min
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S4, Episode 3
Airways That Scare Me – Shock Part 2
