RT Book, Section
A1 Colby, Christopher E.
A2 Stevenson, David K.
A2 Cohen, Ronald S.
A2 Sunshine, Philip
SR Print(0)
ID 1109797536
T1 The Resuscitation of the Newborn With a Difficult Airway
T2 Neonatology: Clinical Practice and Procedures
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071763769
LK accesspediatrics.mhmedical.com/content.aspx?aid=1109797536
RD 2024/04/19
AB Successful  resuscitation  of  the  newborn  nearly  always  begins  with  the  establishment  of  a  patent  airway  through  which  gas  exchange  will  occur.  However,  the  neonatal  airway  may  be  compromised  by  a  number  of  developmental  anomalies  that  make  resuscitation  challenging.  Some  of  these  anomalies  are  relatively  benign  and  respond  to  simple  maneuvers  to  achieve  an  airway.  On  the  other  end  of  the  spectrum  are  other  anomalies  that  may  be  lethal  despite  prenatal  diagnosis  and  delivery  at  a  center  with  advanced  airway  management  capability.  In  either  case,  delivery  room  management  will  be  influenced  by  the  severity  of  the  anomaly  and  the  resulting  degree  of  airway  obstruction.  Appropriate  interventions  in  the  delivery  room  may  range  from  the  placement  of  an  ancillary  device  to  maintain  patency  of  the  airway  to  the  coordinated,  multidisciplinary  surgical  intervention  while  the  infant  continues  to  be  supported  by  the  placental  circulation.  This  chapter  reviews  the  differential  diagnosis  of  newborn  airway  obstruction  and  describes  the  overall  approach  to  delivery  room  management  of  airway  anomalies  that  range  from  mild  to  severe.