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Pediatric Conditions Associated With Compromised Airway: Part I—Congenital

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Epidemiological studies have confirmed that respiratory complications are collectively the leading cause of pediatric anesthetic-related morbidity and mortality. Perioperative pulmonary complications associated with sedation and/or general anesthesia include obstruction, atelectasis, aspiration, pneumonia, bronchitis, laryngospasm, bronchospasm, hypoxemia and respiratory failure. This review discusses congenital conditions characterized by potentially difficult airway management, and proposes treatment considerations to prevent adverse events in these patients. The importance of patient evaluation prior to sedation and general anesthesia is emphasized. Knowledge of normal and abnormal head and neck anatomy and its influence on maintaining airway patency during routine and emergency procedures is necessary in providing safe and high-quality care for young and adolescent patients.
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Keywords: GROWTH AND DEVELOPMENT; SEDATION; SPECIAL HEALTHCARE NEEDS CHILDREN; SYNDROMOLOGY/CRANIOFACIAL ANOMALIES

Document Type: Review Article

Publication date: 2009-05-01

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  • Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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