Pediatrica intensiva: Art & Science of Pediatric Critical Care cover image

Pediatrica intensiva: Art & Science of Pediatric Critical Care

Complex Airway Surgery - Airways That Scare Me

Feb 5, 2024
Discussion on the challenges and collaboration in managing pediatric patients with complex airway issues. Treatment options for severe airway stenosis and malformations. Assessment and workup process for complex airway patients. Challenges of maintaining non-sick lungs in sedated children. Benefits of using micro cuff tube and rigid endoscope in complex airway surgeries. Approaching airway complications and post-extubation care. Criteria for escalating non-invasive support in pediatric patients after extubation.
58:35

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Quick takeaways

  • Collaboration between ICU and surgical teams is crucial in complex airway surgery, necessitating a multidisciplinary approach involving various medical specialists.
  • Thorough preoperative evaluation, including inspiratory airway CT and endoscopic examination, is essential in planning airway reconstruction surgeries.

Deep dives

Working up and investigating patients for complex airway surgery

In this podcast episode on complex airway surgery, the speakers discuss the process of working up and investigating patients for these procedures. They emphasize the importance of collaboration between ICU and surgical teams, as well as the need for a multidisciplinary approach involving various medical specialists. The speakers highlight the range of conditions that can be treated, such as severe stenosis and malacia, and the innovative techniques used, including the use of external airway splints. They also mention the significance of thorough preoperative evaluation, including inspiratory airway CT and endoscopic examination.

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