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J Pediatr Intensive Care 2024; 13(01): 001-006
DOI: 10.1055/s-0041-1732345
Review Article

Airway Management of Critically Ill Pediatric Patients with Suspected or Proven Coronavirus Disease 2019 Infection: An Intensivist Point of View

Franco Díaz 
1   Unidad de Paciente Crítico Pediátrico, Hospital el Carmen de Maipú, Santiago, Chile
2   Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile
3   Red Colaborativa Pediátrica de Latinoamérica (LARed Network), Santiago, Chile
,
Pablo Cruces 
1   Unidad de Paciente Crítico Pediátrico, Hospital el Carmen de Maipú, Santiago, Chile
3   Red Colaborativa Pediátrica de Latinoamérica (LARed Network), Santiago, Chile
4   Centro de Investigación de Medicina Veterinaria, Escuela de Medicina Veterinaria, Facultad de Ciencias de la Vida, Universidad Andres Bello, Santiago, Chile
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Abstract

Advanced airway management of critically ill children is crucial for novel coronavirus disease 2019 (COVID-19) management in the pediatric intensive care unit, whether due to shock and hemodynamic collapse or acute respiratory failure. In this article, intubation is challenging due to the particularities of children's physiology and the underlying disease's pathophysiology, especially when an airborne pathogen, like COVID-19, is present. Unfortunately, published recommendations and guidelines for COVID-19 in pediatrics do not address in-depth endotracheal intubation in acutely ill children. We discussed the caveats and pitfalls of intubation in critically ill children.

Keywords

intubation - pediatrics - pediatric intensive care unit - COVID-19

Authors' Contributions

F.D. drafted the manuscript. P.C. and F.D. reviewed the topics discussed, prepared the manuscript, and approved the final version of the manuscript.




Publication History

Received: 08 May 2021

Accepted: 27 June 2021

Article published online:
26 July 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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