Abstract
Aerodigestive surgery includes patients with complex respiratory and gastrointestinal diagnoses. These disorders can include dysphagia, feeding disorders, gastroesophageal reflux, sleep apnea, asthma, congenital anomalies of the airway or esophagus, esophagitis, and airway malacia (Collaco et al. JAMA Otolaryngol Head Neck Surg 141(2):101–105, 2015). Routine procedures for disorders include tonsillectomy, adenoidectomy, laryngoscopy and bronchoscopy, and gastrointestinal endoscopy. The most common airway complications during aerodigestive surgery include apnea, aspiration, laryngospasm, bronchospasm, stridor, obstruction secondary to edema, and hypoxia. Less frequently but potentially more devastating bleeding and airway fires may occur. The understanding of the risks and mitigating factors is important in reducing morbidity and mortality.
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References
Collaco JM, Aherrera AD, Au Yeung KJ, Lefton-Greif MA, Hoch J, Skinner ML. Interdisciplinary pediatric aerodigestive care and reduction in health care costs and burden. JAMA Otolaryngol Head Neck Surg. 2015;141(2):101–5. https://doi.org/10.01001/jamoto.2014.30.
Randall DA, Hoffer ME. Complications of tonsillectomy and adenoidectomy. Otolaryngol Head Neck Surg. 1998;118(1):61–8.
Coté CJ, Lerman J, Anderson B. Chapter 31: Otorhinolaryngologic procedures. In: A practice of anesthesia for infants and children. Philadelphia: Elsevier/Saunders; 2013. p. 653–82.
Waters KA, McBrien F, Stewart P, Hinder M, Wharton S. Effects of OSA, inhalational anesthesia, and fentanyl on the airway and ventilation of children. J Appl Physiol. 2002;92:1987–94.
Verghese ST, Hannallah RS. Pediatric otolaryngologic emergencies. Anesthesiol Clin North Am. 2001;19:237–56.
Koomen E, Poortmans G, Anderson BJ, Janssens MM. Jet ventilation for laryngotracheal surgery in an ex-premature infant. Paediatr Anaesth. 2005;15:786–9.
Tringali A, et al. Complications in pediatric endoscopy. Best Pract Res Clin Gastroenterol. 2016;30(5):825–39.
Amournyotin S, Aanpreung P, Prakarnrattana U, et al. Experience of intravenous sedation for pediatric gastrointestinal endoscopy in a large tertiary referral center in a developing country. Paediatr Anaesth. 2009;19:784–91.
Coté CJ, Lerman J, Anderson B. Chapter 12: The pediatric airway. In: A practice of anesthesia for infants and children. Philadelphia: Elsevier/Saunders; 2013. p. 653–82.
Olsson GL, Hallen B. Laryngospasm during anaesthesia. A computer-aided incidence study in 136,929 patients. Acta Anaesthesiol Scand. 1984;28:567–75.
Alalami AA. Laryngospasm: review of different prevention and treatment modalities. Paediatr Anaesth. 2008;18(4):281–8.
Meta SP, Bhanaker SM, Posner KL, Domino KB. Operating room fires: a closed claims analysis. Anesthesiology. 2013;118(5):1133–9.
McGill WA, Coveler LA, Epstein BS. Subacute upper respiratory infection in small children. Anesth Analg. 1979;58(4):331–3.
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Rawtani, N., Johnson, Y. (2019). Prevention Airway Complications During Aerodigestive Surgery. In: Preciado, D., Verghese, S. (eds) Anesthetic Management for the Pediatric Airway . Springer, Cham. https://doi.org/10.1007/978-3-030-04600-2_15
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DOI: https://doi.org/10.1007/978-3-030-04600-2_15
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