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1. Airway management in the paediatric difficult intubation registry: a propensity score matched analysis of outcomes over time.

Author

Stein, Mary, Sarmiento Argüello, Lina, Staffa, Steven, Heunis, Julia, Egbuta, Chinyere, Flynn, Stephen, Khan, Sabina, Sabato, Stefano, Taicher, Brad, Chiao, Franklin, Bosenberg, Adrian, Lee, Angela, Adams, H, von Ungern-Sternberg, Britta, Park, Raymond, Peyton, James, Olomu, Patrick, Hunyady, Agnes, Garcia-Marcinkiewicz, Annery, Fiadjoe, John, and Kovatsis, Pete

Subjects
Complications, Difficult airway, Intubation, Outcomes, Paediatric airway, Video laryngoscopy
Abstract

BACKGROUND: The Paediatric Difficult Intubation Collaborative identified multiple attempts and persistence with direct laryngoscopy as risk factors for complications in children with difficult tracheal intubations and subsequently engaged in initiatives to reduce repeated attempts and persistence with direct laryngoscopy in children. We hypothesised these efforts would lead to fewer attempts, fewer direct laryngoscopy attempts and decrease complications. METHODS: Paediatric patients less than 18 years of age with difficult direct laryngoscopy were enrolled in the Paediatric Difficult Intubation Registry. We define patients with difficult direct laryngoscopy as those in whom (1) an attending or consultant obtained a Cormack Lehane Grade 3 or 4 view on direct laryngoscopy, (2) limited mouth opening makes direct laryngoscopy impossible, (3) direct laryngoscopy failed in the preceding 6 months, and (4) direct laryngoscopy was deferred due to perceived risk of harm or poor chance of success. We used a 5:1 propensity score match to compare an early cohort from the initial Paediatric Difficult Intubation Registry analysis (August 6, 2012-January 31, 2015, 785 patients, 13 centres) and a current cohort from the Registry (March 4, 2017-March 31, 2023, 3925 patients, 43 centres). The primary outcome was first attempt success rate between cohorts. Success was defined as confirmed endotracheal intubation and assessed by the treating clinician. Secondary outcomes were eventual success rate, number of attempts at intubation, number of attempts with direct laryngoscopy, the incidence of persistence with direct laryngoscopy, use of supplemental oxygen, all complications, and severe complications. FINDINGS: First-attempt success rate was higher in the current cohort (42% vs 32%, OR 1.5 95% CI 1.3-1.8, p

Published
2024

2. Difficult or impossible facemask ventilation in children with difficult tracheal intubation: a retrospective analysis of the PeDI registry

Author

Garcia-Marcinkiewicz, Annery G, Lee, Lisa K, Haydar, Bishr, Fiadjoe, John E, Matava, Clyde T, Kovatsis, Pete G, Peyton, James, Stein, Mary L, Park, Raymond, Taicher, Brad M, Templeton, Thomas W, Collaborative, on behalf of the PeDI, Bruins, Benjamin B, Stricker, Paul, Laverriere, Elizabeth K, Lockman, Justin L, Struyk, Brian, Ward, Christopher, Nishisaki, Akira, Kodavatiganti, Ramesh, Guris, Rodrigo J Daly, Sequera-Ramos, Luis, Teen, Mark S, Oke, Ayodele, Hsu, Grace, Lingappan, Arul, Egbuta, Chinyere, Flynn, Stephen, Sarmiento, Lina, Goldfarb, Tally, Kiss, Edgar E, Olomu, Patrick N, Szmuk, Peter, Mireles, Sam, Murray, Andrea, Whyte, Simon, Jain, Ranu, Matuszczak, Maria, Hunyady, Agnes, Bosenberg, Adrian, Tham, See, Low, Daniel, Holmes, Christopher, Sabato, Stefan, Dalesio, Nicholas, Greenberg, Robert, Lucero, Angela, Reynolds, Paul, Lewis, Ian, Schrock, Charles, Nykiel-Bailey, Sydney, Starker, Elizabeth, Szolnoki, Judit, Brooks-Peterson, Melissa, Bhattacharya, Somaletha, Burjek, Nicholas E, Jagannathan, Narasimhan, Lardner, David, Watkins, Scott, Crockett, Christy, Moore, John, Robertson, Sara, Sathyamoorthy, Madhankumar, Chiao, Franklin, Patel, Jasmine, Sharma, Aarti, Marin, Piedad Echeverry, Pérez-Pradilla, Carolina, Singh, Neeta, von Ungern-Sternberg, Britta S, Sommerfield, David, Bilen-Rosas, Guelay, Lewkowitz-Shpuntoff, Hilana, Castro, Pilar, Perez, N Ricardo Riveros, de Graaff, Jurgen C, Vega, Eduardo, González, Alejandro, Ostermann, Paola, Rubin, Kasia, Lord, Charles, Lee, Angela, Heitmiller, Eugenie, Valairucha, Songyos, Dalal, Priti, Tran, Thanh, Ayad, Ihab, Rehman, Mohamed, Fernandez, Allison, Zamora, Lillian, Ravula, Niroop, and Shaik, Sadiq

Subjects
Rare Diseases, Lung, Assistive Technology, Bioengineering, Infant, Humans, Child, Masks, Intubation, Intratracheal, Retrospective Studies, Respiration, Laryngeal Masks, Airway Management, complications, difficult airway, difficult facemask ventilation, impossible facemask ventilation, paediatrics, supraglottic airway, PeDI Collaborative, Clinical Sciences, Anesthesiology
Abstract

BackgroundDifficult facemask ventilation is perilous in children whose tracheas are difficult to intubate. We hypothesised that certain physical characteristics and anaesthetic factors are associated with difficult mask ventilation in paediatric patients who also had difficult tracheal intubation.MethodsWe queried a multicentre registry for children who experienced "difficult" or "impossible" facemask ventilation. Patient and case factors known before mask ventilation attempt were included for consideration in this regularised multivariable regression analysis. Incidence of complications, and frequency and efficacy of rescue placement of a supraglottic airway device were also tabulated. Changes in quality of mask ventilation after injection of a neuromuscular blocking agent were assessed.ResultsThe incidence of difficult mask ventilation was 9% (483 of 5453 patients). Infants and patients having increased weight, being less than 5th percentile in weight for age, or having Treacher-Collins syndrome, glossoptosis, or limited mouth opening were more likely to have difficult mask ventilation. Anaesthetic induction using facemask and opioids was associated with decreased risk of difficult mask ventilation. The incidence of complications was significantly higher in patients with "difficult" mask ventilation than in patients without. Rescue placement of a supraglottic airway improved ventilation in 71% (96 of 135) of cases. Administration of neuromuscular blocking agents was more frequently associated with improvement or no change in quality of ventilation than with worsening.ConclusionsCertain abnormalities on physical examination should increase suspicion of possible difficult facemask ventilation. Rescue use of a supraglottic airway device in children with difficult or impossible mask ventilation should be strongly considered.

Published
2023

3. Awake Supraglottic Airway Placement in Pediatric Patients for Airway Obstruction or Difficult Intubation: Insights From an International Airway Registry (PeDI)

Author

Longacre, Mckenna, Park, Raymond S., Staffa, Steven J., Rowland, Matthew J., Meserve, Jonathan, Lord, Charles, Templeton, T. Wesley, Garcia-Marcinkiewicz, Annery G., Peyton, James M., Fiadjoe, John E., Kovatsis, Pete G., Stein, Mary Lyn, Bruins, Benjamin B., Stricker, Paul, Laverriere, Elizabeth K., Lockman, Justin L., Struyk, Brian, Ward, Christopher, Nishisaki, Akira, Kodavatiganti, Ramesh, Guris, Rodrigo J. Daly, Sequera-Ramos, Luis, Teen, Mark S., Oke, Ayodele, Hsu, Grace, Lingappan, Arul, Egbuta, Chinyere, Flynn, Stephen, Sarmiento, Lina, Battles, Rhae, Bocanegra, Ashley D., Goldfarb, Tally, Kiss, Edgar E., Olomu, Patrick N., Szmuk, Peter, Mireles, Sam, Murray, Andrea, Whyte, Simon, Jain, Ranu, Khan, Sabina A., Matuszczak, Maria, Hunyady, Agnes, Holmes, Christopher, McCann, Alexander, Sabato, Stefano, Matava, Clyde, Dalesio, Nicholas, Greenberg, Robert, Lucero, Angela, Desai, Sapna, Tennessee, Nashville, Rosander, Sondra, Samba, Sindhu, Schrock, Charles, Nykiel-Bailey, Sydney, Marsh, Jennifer, Brooks Peterson, Melissa, Johnson Lee, Amy Colleen, Bhattacharya, Somaletha, Burjek, Nicholas E., Jagannathan, Narasimhan, Lardner, David, Crockett, Christy, Robertson, Sara, Sathyamoorthy, Madhankumar, Chiao, Franklin, Patel, Jasmine, Sharma, Aarti, Echeverry Marin, Piedad, Pérez-Pradilla, Carolina, Singh, Neeta, Taicher, Brad, von Ungern-Sternberg, Britta S., Sommerfield, David, Hauser, Neil, Hesselink, Emily, Lewkowitz-Shpuntoff, Hilana, Castro, Pilar, Riveros Perez, N. Ricardo, Leite, Fernanda, Vega, Eduardo, González, Alejandro, Ostermann, Paola, Rubin, Kasia, Lee, Angela, Valairucha, Songyos, Dalal, Priti, Tran, Thanh, Anspach, Taylor, Lee, Lisa K., Ayad, Ihab, Rehman, Mohamed, Fernandez, Allison, Zamora, Lillian, Ravula, Niroop, Shaik, Sadiq, Szolnoki, Judit, Mathew, Preethy J., Yaddanapudi, Sandhya, Sen, Indu, Gupta, Aakriti, Handlogten, Kathryn, Sroka, J. Michael, Caldeira Quintao, Vinicius, and Vieira Carlos, Ricardo

Published
2024
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4. Airway management in the paediatric difficult intubation registry: a propensity score matched analysis of outcomes over time

Author

Bruins, Benjamin, Stricker, Paul, Laverriere, Elizabeth, Lockman, Justin L., Struyk, Brian, Ward, Christopher, Nishisaki, Akira, Kodavatiganti, Ramesh, Guris, Rodrigo Daly, Sequera-Ramos, Luis, Teen, Mark, Oke, Ayodele, Hsu, Grace, Lingappan, Arul, Battles, Rhae, Bocanegra, Ashley, Goldfarb, Tally, Kiss, Edgar, Szmuk, Peter, Mireles, Sam, Murray, Andrea, Whyte, Simon, Jain, Ranu, Matuszczak, Maria, Holmes, Christopher, McCann, Alexander, Matava, Clyde, Dalesio, Nicholas, Greenberg, Robert, Lucero, Angela, Desai, Sapna, Rosander, Sondra, Samba, Sindhu, Schrock, Charles, Nykiel-Bailey, Sydney, Marsh, Jennifer, Peterson, Melissa Brooks, Lee, Amy, Bhattacharya, Somaletha, Burjek, Nicholas, Jagannathan, Narasimhan, Lardner, David, Crockett, Christy, Robetson, Sara, Patel, Jasmine, Sharma, Aarti, Templeton, Thomas, Marín, Piedad Echeverry, Pérez-Pradilla, Carolina, Singh, Neeta, Sommerfield, David, Hauser, Neil, Hesselink, Emily, Lewkowitz-Shpuntoff, Hilana, Castro, Pilar, Riveros Perez, N. Ricardo, Vega, Eduardo, González, Alejandro, Ostermann, Paola, Rubin, Kasia, Meserve, Jonathan, Lord, Charles, Lee, Angela, Valairucha, Songyos, Dalal, Priti, Tran, Thanh, Anspach, Taylor, Lee, Lisa K., Ayad, Ihab, Rehman, Mohamed, Fernandez, Allison, Zamora, Lillian, Ravula, Niroop, Shaik, Sadiq, Szolnoki, Judit, Mathew, Preethy, Yaddanapudi, Sandhya, Sen, Indu, Gupta, Aakriti, Handlogten, Kathryn, Sroka, J. Michael, Quintão, Vinícius Caldeira, Carlos, Ricardo Vieira, Leite, Fernanda, Stein, Mary Lyn, Sarmiento Argüello, Lina Andrea, Staffa, Steven J., Heunis, Julia, Egbuta, Chinyere, Flynn, Stephen G., Khan, Sabina A., Sabato, Stefano, Taicher, Brad M., Chiao, Franklin, Bosenberg, Adrian, Lee, Angela C., Adams, H. Daniel, von Ungern-Sternberg, Britta S., Park, Raymond S., Peyton, James M., Olomu, Patrick N., Hunyady, Agnes I., Garcia-Marcinkiewicz, Annery, Fiadjoe, John E., and Kovatsis, Pete G.

Published
2024
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5. Airway Management

Author

Garcia-Marcinkiewicz, Annery G., Stricker, Paul A., Fiadjoe, John E., and Lerman, Jerrold, editor

Published
2023
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6. Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines

Author

Srinivasan, Ilavajady, Correia, Michelle, Nghiem, Jessica, Chowdhury, Apala R., Marchesini, Vanessa, Bonfiglio, Rachele, Bastianello, Matilde, Disma, Nicola, Asai, Takashi, Cools, Evelien, Cronin, Alexandria, Engelhardt, Thomas, Fiadjoe, John, Fuchs, Alexander, Garcia-Marcinkiewicz, Annery, Habre, Walid, Heath, Chloe, Johansen, Mathias, Kaufmann, Jost, Kleine-Brueggeney, Maren, Kovatsis, Pete G., Kranke, Peter, Lusardi, Andrea C., Matava, Clyde, Peyton, James, Riva, Thomas, Romero, Carolina S., von Ungern-Sternberg, Britta, Veyckemans, Francis, and Afshari, Arash

Published
2024
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7. Pediatric Airway Management in Coronavirus Disease 2019 Patients: Consensus Guidelines From the Society for Pediatric Anesthesia’s Pediatric Difficult Intubation Collaborative and the Canadian Pediatric Anesthesia Society

Author

Matava, Clyde T, Kovatsis, Pete G, Lee, Jennifer K, Castro, Pilar, Denning, Simon, Yu, Julie, Park, Raymond, Lockman, Justin L, Von Ungern-Sternberg, Britta, Sabato, Stefano, Lee, Lisa K, Ayad, Ihab, Mireles, Sam, Lardner, David, Whyte, Simon, Szolnoki, Judit, Jagannathan, Narasimhan, Thompson, Nicole, Stein, Mary Lyn, Dalesio, Nicholas, Greenberg, Robert, McCloskey, John, Peyton, James, Evans, Faye, Haydar, Bishr, Reynolds, Paul, Chiao, Franklin, Taicher, Brad, Templeton, Thomas, Bhalla, Tarun, Raman, Vidya T, Garcia-Marcinkiewicz, Annery, Gálvez, Jorge, Tan, Jonathan, Rehman, Mohamed, Crockett, Christy, Olomu, Patrick, Szmuk, Peter, Glover, Chris, Matuszczak, Maria, Galvez, Ignacio, Hunyady, Agnes, Polaner, David, Gooden, Cheryl, Hsu, Grace, Gumaney, Harshad, Pérez-Pradilla, Caroline, Kiss, Edgar E, Theroux, Mary C, Lau, Jennifer, Asaf, Saeedah, Ingelmo, Pablo, Engelhardt, Thomas, Hervías, Mónica, Greenwood, Eric, Javia, Luv, Disma, Nicola, Yaster, Myron, and Fiadjoe, John E

Subjects
Patient Safety, Lung, Pediatric, Clinical Research, Good Health and Well Being, Adolescent, Airway Management, Anesthesia, Anesthesiology, COVID-19, Child, Child, Preschool, Consensus, Coronavirus Infections, Guidelines as Topic, Humans, Infant, Infant, Newborn, Infection Control, Infectious Disease Transmission, Patient-to-Professional, Intubation, Intratracheal, Pandemics, Pediatrics, Pneumonia, Viral, PeDI-Collaborative, Clinical Sciences, Neurosciences
Abstract

The severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019 [COVID-19]) pandemic has challenged medical systems and clinicians globally to unforeseen levels. Rapid spread of COVID-19 has forced clinicians to care for patients with a highly contagious disease without evidence-based guidelines. Using a virtual modified nominal group technique, the Pediatric Difficult Intubation Collaborative (PeDI-C), which currently includes 35 hospitals from 6 countries, generated consensus guidelines on airway management in pediatric anesthesia based on expert opinion and early data about the disease. PeDI-C identified overarching goals during care, including minimizing aerosolized respiratory secretions, minimizing the number of clinicians in contact with a patient, and recognizing that undiagnosed asymptomatic patients may shed the virus and infect health care workers. Recommendations include administering anxiolytic medications, intravenous anesthetic inductions, tracheal intubation using video laryngoscopes and cuffed tracheal tubes, use of in-line suction catheters, and modifying workflow to recover patients from anesthesia in the operating room. Importantly, PeDI-C recommends that anesthesiologists consider using appropriate personal protective equipment when performing aerosol-generating medical procedures in asymptomatic children, in addition to known or suspected children with COVID-19. Airway procedures should be done in negative pressure rooms when available. Adequate time should be allowed for operating room cleaning and air filtration between surgical cases. Research using rigorous study designs is urgently needed to inform safe practices during the COVID-19 pandemic. Until further information is available, PeDI-C advises that clinicians consider these guidelines to enhance the safety of health care workers during airway management when performing aerosol-generating medical procedures. These guidelines have been endorsed by the Society for Pediatric Anesthesia and the Canadian Pediatric Anesthesia Society.

Published
2020

8. Pediatric Airway Management in COVID-19 Patients: Consensus Guidelines From the Society for Pediatric Anesthesia's Pediatric Difficult Intubation Collaborative and the Canadian Pediatric Anesthesia Society.

Author

Matava, Clyde T, Kovatsis, Pete G, Lee, Jennifer K, Castro, Pilar, Denning, Simon, Yu, Julie, Park, Raymond, Lockman, Justin L, Von Ungern-Sternberg, Britta, Sabato, Stefano, Lee, Lisa K, Ayad, Ihab, Mireles, Sam, Lardner, David, Whyte, Simon, Szolnoki, Judit, Jagannathan, Narasimhan, Thompson, Nicole, Stein, Mary Lyn, Dalesio, Nicholas, Greenberg, Robert, McCloskey, John, Peyton, James, Evans, Faye, Haydar, Bishr, Reynolds, Paul, Chiao, Franklin, Taicher, Brad, Templeton, Thomas, Bhalla, Tarun, Raman, Vidya T, Garcia-Marcinkiewicz, Annery, Gálvez, Jorge, Tan, Jonathan, Rehman, Mohamed, Crockett, Christy, Olomu, Patrick, Szmuk, Peter, Glover, Chris, Matuszczak, Maria, Galvez, Ignacio, Hunyady, Agnes, Polaner, David, Gooden, Cheryl, Hsu, Grace, Gumaney, Harshad, Pérez-Pradilla, Caroline, Kiss, Edgar E, Theroux, Mary C, Lau, Jennifer, Asaf, Saeedah, Ingelmo, Pablo, Engelhardt, Thomas, Hervías, Mónica, Greenwood, Eric, Javia, Luv, Disma, Nicola, Yaster, Myron, Fiadjoe, John E, and PeDI-Collaborative

Subjects
PeDI-Collaborative, Humans, Pneumonia, Viral, Coronavirus Infections, Anesthesia, Intubation, Intratracheal, Consensus, Anesthesiology, Pediatrics, Infection Control, Adolescent, Child, Child, Preschool, Infant, Infant, Newborn, Guidelines as Topic, Infectious Disease Transmission, Patient-to-Professional, Airway Management, Pandemics, Pneumonia, Viral, Intubation, Intratracheal, Preschool, Newborn, Infectious Disease Transmission, Patient-to-Professional, Clinical Sciences, Neurosciences
Abstract

The severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019 [COVID-19]) pandemic has challenged medical systems and clinicians globally to unforeseen levels. Rapid spread of COVID-19 has forced clinicians to care for patients with a highly contagious disease without evidence-based guidelines. Using a virtual modified nominal group technique, the Pediatric Difficult Intubation Collaborative (PeDI-C), which currently includes 35 hospitals from 6 countries, generated consensus guidelines on airway management in pediatric anesthesia based on expert opinion and early data about the disease. PeDI-C identified overarching goals during care, including minimizing aerosolized respiratory secretions, minimizing the number of clinicians in contact with a patient, and recognizing that undiagnosed asymptomatic patients may shed the virus and infect health care workers. Recommendations include administering anxiolytic medications, intravenous anesthetic inductions, tracheal intubation using video laryngoscopes and cuffed tracheal tubes, use of in-line suction catheters, and modifying workflow to recover patients from anesthesia in the operating room. Importantly, PeDI-C recommends that anesthesiologists consider using appropriate personal protective equipment when performing aerosol-generating medical procedures in asymptomatic children, in addition to known or suspected children with COVID-19. Airway procedures should be done in negative pressure rooms when available. Adequate time should be allowed for operating room cleaning and air filtration between surgical cases. Research using rigorous study designs is urgently needed to inform safe practices during the COVID-19 pandemic. Until further information is available, PeDI-C advises that clinicians consider these guidelines to enhance the safety of health care workers during airway management when performing aerosol-generating medical procedures. These guidelines have been endorsed by the Society for Pediatric Anesthesia and the Canadian Pediatric Anesthesia Society.

Published
2020

9. Difficult or impossible facemask ventilation in children with difficult tracheal intubation: a retrospective analysis of the PeDI registry

Author

Bruins, Benjamin B., Stricker, Paul, Laverriere, Elizabeth K., Lockman, Justin L., Struyk, Brian, Ward, Christopher, Nishisaki, Akira, Kodavatiganti, Ramesh, Daly Guris, Rodrigo J., Sequera-Ramos, Luis, Teen, Mark S., Oke, Ayodele, Hsu, Grace, Lingappan, Arul, Egbuta, Chinyere, Flynn, Stephen, Sarmiento, Lina, Goldfarb, Tally, Kiss, Edgar E., Olomu, Patrick N., Szmuk, Peter, Mireles, Sam, Murray, Andrea, Whyte, Simon, Jain, Ranu, Matuszczak, Maria, Hunyady, Agnes, Bosenberg, Adrian, Tham, See, Low, Daniel, Holmes, Christopher, Sabato, Stefan, Dalesio, Nicholas, Greenberg, Robert, Lucero, Angela, Reynolds, Paul, Lewis, Ian, Schrock, Charles, Nykiel-Bailey, Sydney, Starker, Elizabeth, Szolnoki, Judit, Brooks-Peterson, Melissa, Bhattacharya, Somaletha, Burjek, Nicholas E., Jagannathan, Narasimhan, Lardner, David, Watkins, Scott, Crockett, Christy, Moore, John, Robertson, Sara, Sathyamoorthy, Madhankumar, Chiao, Franklin, Patel, Jasmine, Sharma, Aarti, Echeverry Marin, Piedad, Pérez-Pradilla, Carolina, Singh, Neeta, von Ungern-Sternberg, Britta S., Sommerfield, David, Bilen-Rosas, Guelay, Lewkowitz-Shpuntoff, Hilana, Castro, Pilar, Riveros Perez, N. Ricardo, de Graaff, Jurgen C., Vega, Eduardo, González, Alejandro, Ostermann, Paola, Rubin, Kasia, Lord, Charles (Ted), Lee, Angela, Heitmiller, Eugenie, Valairucha, Songyos, Dalal, Priti, Tran, Thanh, Ayad, Ihab, Rehman, Mohamed, Fernandez, Allison, Zamora, Lillian, Ravula, Niroop, Shaik, Sadiq, Garcia-Marcinkiewicz, Annery G., Lee, Lisa K., Haydar, Bishr, Fiadjoe, John E., Matava, Clyde T., Kovatsis, Pete G., Peyton, James, Stein, Mary L., Park, Raymond, Taicher, Brad M., and Templeton, Thomas W.

Published
2023
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10. Contributors

Author

Abella, Benjamin S., primary, Adenwala, Adam Y., additional, Arriaga, Alexander F., additional, Artime, Carlos, additional, Ashburn, Michael, additional, Augoustides, John G.T., additional, Barnett, Judith, additional, Barnett, Sheila, additional, Beilin, Yaakov, additional, Bell, Russell, additional, Bhanaker, Sanjay M., additional, Bowdle, Andrew, additional, Carson, Jeffrey L., additional, Cereda, Maurizio, additional, Cheng, Stephanie, additional, Chibucos, Lauren N., additional, Cohen, Jason E., additional, Cohen, Neal H., additional, Cohn, Steven L., additional, Cooney, Enya, additional, Cooper, Bronwyn, additional, Navarro, Jovany Crus, additional, Culley, Deborah, additional, De Hert, Stefan, additional, Deiner, Stacie, additional, Dillane, Derek, additional, Djaiani, George, additional, Domino, Karen B., additional, Doshi, Amit H., additional, Duffy, Caoimhe C, additional, Elkassabany, Nabil, additional, Everett, Lucinda L., additional, Faraoni, David, additional, Feinman, Jared, additional, Fiadjoe, John E., additional, Fitzsimons, Michael G., additional, Fleisher, Lee A., additional, Fridman, Jake, additional, Gan, Tong J., additional, Ganesh, Arjunan, additional, Garcia, Santiago, additional, Gelb, Adrian W., additional, Gold, Andrew, additional, Grant, Mark, additional, Grech, Dennis, additional, Gurnaney, Harshad G., additional, Gutsche, Jacob T., additional, Habib, Ashraf S., additional, Harukuni, Izumi, additional, Hashmi, Nazish Khalid, additional, Hausman, Laurence M., additional, Head, Diane, additional, Hepner, David L., additional, Hollman, Caryl, additional, Joshi, Aditya, additional, Kearsley, Rosemarie, additional, Kiefer, Jesse, additional, Kofke, Andrew W., additional, Kozarek, Katherine, additional, Krishnan, Sindhu, additional, Lee, Bradley H., additional, Li, Jinlei, additional, Li, Rosie Q., additional, Liu, Jiabin, additional, Lumlertgul, Nuttha, additional, Lumb, Andrew B, additional, Mahanna-Gabrielli, Elizabeth, additional, Mangat, Gulnar, additional, Maties, Oana, additional, McFalls, Edward O., additional, McGarvey, Michael L., additional, Mehta, Tanya, additional, Michaels, Ilene K., additional, Moitra, Vivek K., additional, Nada, Eman, additional, Nguyen, John, additional, O’Brien, Elizabeth, additional, Onuoha, Onyi, additional, Oprea, Adriana, additional, Ostermann, Marlies, additional, Panesar, Paul H, additional, Patel, Manish S., additional, Patel, Prakash A., additional, Peden, Carol J., additional, Pollard, Richard J., additional, Potestio, Christopher P., additional, Pukenas, Erin W., additional, Pungsornruk, Karla, additional, Randazzo, Sonya, additional, Reskallah, Alexander, additional, Robinson, Stephen T., additional, Rohatgi, Nidhi, additional, Rosenblatt, Kathryn, additional, Royo, Marc B., additional, Samama, Charles Marc, additional, Schlichter, R. Alexander, additional, Schulman, Peter M., additional, Scott, Michael J., additional, Segal, Scott, additional, Shapiro, Fred E., additional, Stecker, Eric C., additional, Steinhorn, Rachel, additional, Steyn, Petrus Paulus, additional, Sundermann, Derek, additional, de Vasconcellos, Kim, additional, Vernick, William J., additional, Wang, Dorothy W.Y., additional, Welsby, Ian James, additional, and Wlody, David, additional

Published
2023
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13. Awake Supraglottic Airway Placement in Pediatric Patients for Airway Obstruction or Difficult Intubation: Insights From an International Airway Registry (PeDI).

Author

Longacre, Mckenna, Park, Raymond S., Staffa, Steven J., Rowland, Matthew J., Meserve, Jonathan, Lord, Charles, Templeton, T. Wesley, Garcia-Marcinkiewicz, Annery G., Peyton, James M., Fiadjoe, John E., Kovatsis, Pete G., Stein, Mary Lyn, Bruins, Benjamin B., Stricker, Paul, Laverriere, Elizabeth K., Lockman, Justin L., Struyk, Brian, Ward, Christopher, Nishisaki, Akira, and Kodavatiganti, Ramesh

Published
2025
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14. Coaching inexperienced clinicians before a high stakes medical procedure: randomized clinical trial.

Author

Flynn, Stephen G., Park, Raymond S., Jena, Anupam B., Staffa, Steven J., Kim, Samuel Y., Clarke, Julia D., Pham, Ivy V., Lukovits, Karina E., Sheng Xiang Huang, Sideridis, Georgios D., Bernier, Rachel S., Fiadjoe, John E., Weinstock, Peter H., Peyton, James M., Stein, Mary Lyn, and Kovatsis, Pete G.

Subjects
PREVENTION of surgical complications, OXYGEN saturation, PREOPERATIVE period, MEDICAL quality control, RESEARCH funding, MEDICAL fellowships, PATIENTS, HUMAN anatomical models, EDUCATIONAL outcomes, STATISTICAL sampling, GRADUATE students, TREATMENT effectiveness, RANDOMIZED controlled trials, CHILDREN'S hospitals, ANESTHESIOLOGISTS, ENDOTRACHEAL tubes, EMERGENCY medical services, STRUCTURAL equation modeling, DESCRIPTIVE statistics, TRACHEA intubation, HOSPITAL medical staff, LONGITUDINAL method, TRACHEOTOMY equipment, INTRAOPERATIVE care, ODDS ratio, CLINICAL competence, QUALITY assurance, COMPARATIVE studies, AIRWAY (Anatomy), NATIONAL competency-based educational tests, CONFIDENCE intervals, PEDIATRIC anesthesia, NURSING students, COVID-19, COGNITION, CHILDREN
Published
2024
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17. A comparison of videolaryngoscopy using standard blades or non-standard blades in children in the Paediatric Difficult Intubation Registry

Author

Sommerfield, David, Holmes, Chris, Ravula, Niroop, Jette, Christine, Mireles, Sam, Matava, Clyde, Whyte, Simon, Vega, Eduardo, Yang, Lei, Echeverry-Marin, Piedad, Perez-Pradilla, Carolina, Starker, Elizabeth, Zieg, Jennifer, Szolnoki, Judit, Lee, Angela, Heitmiller, Eugenie, Rehman, Mohamed, Zamora, Lillian, Fernandez, Allison, Meserve, Jonathan, Bhattacharya, Solmaletha, Reynolds, Paul, Lewis, Ian, Haydar, Bishr, Therrian, Megan, Sarmiento, Linare, Richtsfeld, Martina, Belani, Kumar, Robertson, Sara, Sathyamoorthy, Kumar, Schrock, Charles, de Graaff, Jurgen, Soneru, Codruta, Singh, Neeta, Taicher, Brad, Castro, Pilar, Riveros Perez, N.R., Stricker, Paul, Lockman, Justin L., Galvez, Jorge, Isserman, Rebecca, Struyk, Brian, Ward, Christopher, Hsu, Grace, Nishisaki, Akira, Kodavatiganti, Ramesh, Ramos, Luis S., Scheu, Eric, Bruins, Benjamin, Goldfarb, Tally, Szmuk, Peter, Jain, Ranu, Matuszczak, Maria, Polaner, David, Hunyady, Agnes, Bosenberg, Adrian, Tham, See, Low, Daniel, Rosas, Guelay B., Lee, Lisa K., Iyah, Ihab, Dalesio, Nicholas, Greenberg, Rob, Peyton, James, Park, Raymond, Staffa, Steven J., Sabato, Stefano, Templeton, Thomas W., Stein, Mary Lyn, Garcia-Marcinkiewicz, Annery G., Kiss, Edgar, Fiadjoe, John Edem, von Ungern-Sternberg, Britta, Chiao, Franklin, Olomu, Patrick, Zurakowski, David, and Kovatsis, Pete G.

Published
2021
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18. List of Contributors

Author

Adler, Adam C., primary, Ambardekar, Aditee P., additional, Balamuth, Naomi, additional, Berman, Alexandra, additional, Bhalla, Tarun, additional, Boyer, Donald L., additional, Costandi, Andrew J., additional, Daigle, C. Hunter, additional, Dodson, Gregory, additional, Feldman, Jeffrey M., additional, Fiadjoe, John E., additional, Foster, Jessica, additional, Gallagher, Susan, additional, Jay Garcia, F., additional, Girard, Thierry, additional, Grivoyannis, Anastasia D., additional, Gurnaney, Harshad, additional, Habib, Fatimah, additional, Hsu, Grace, additional, Hunter, Samuel, additional, Isserman, Rebecca S., additional, Jones, Jeremy, additional, Jemma Kang, Ji Yeon, additional, King, Michael R., additional, Wickam Kraemer, F., additional, E. Linder, Grace, additional, Litman, Ronald S., additional, Loh, Katherine H., additional, Mamula, Petar, additional, Garcia-Marcinikiewicz, Annery, additional, Maxwell, Lynne G., additional, Muhly, Wallis T., additional, Nelson, Olivia, additional, Nookala, Asha, additional, Olbrecht, Vanessa A., additional, Patel, Shikha, additional, Perate, Alison, additional, Petrini, Laura A., additional, Pinyavat, Teeda, additional, Renuart, Andrew, additional, Rheingold, Susan R., additional, Rosenblatt, Samuel, additional, Rosenbloom, Julia, additional, Ryan, William, additional, Sesok-Pizzini, Deborah Ann, additional, Setiawan, Christopher, additional, Simpao, Allan F., additional, Stricker, Paul A., additional, Weintraub, Ari Y., additional, Witmer, Char M., additional, Zaoutis, Theoklis, additional, and Zur, Karen B., additional

Published
2022
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20. First-attempt success rate of video laryngoscopy in small infants (VISI): a multicentre, randomised controlled trial

Author

Ladner, David, Burjek, Nicholas, Jagannathan, Narasimhan, Hadjuk, John, Asaf, Saeedah, Glover, Chris, Stein, Mary L, Kodavatiganti, Ramesh, Bruins, B B, Struyk, Brian, Sequera-Ramos, Luis, Ward, Christopher, Laverriere, Elizabeth, Gurnaney, Harshad, Scheu, Eric, Farrell, Heather, Stricker, Paul, Castro, Pilar, Lee, Angela, Valairucha, Songyos, Szolnoki, Judit, Zieg, Jennifer, Chiao, Franklin B, Taicher, Brad M, De Graaff, Jurgen C, Dalesio, Nicholas M, Greenberg, Robert S, Lucero, Angela R, Zamora, Lillian, Fernandez, Allison, Mohamed, Nada, Sabato, Stefano C, Holmes, Christopher D, Bhattacharya, Somaletha T, Meserve, Jonathan, Reynolds, Paul I, Haydar, Bishr, Weber, Monica, Therrian, Megan, Richtsfeld, Martina, Teen, Mark S, Garcia-Marcinkiewicz, Annery G, Kovatsis, Pete G, Hunyady, Agnes I, Olomu, Patrick N, Zhang, Bingqing, Sathyamoorthy, Madhankumar, Gonzalez, Adolfo, Kanmanthreddy, Siri, Gálvez, Jorge A, Franz, Amber M, Peyton, James, Park, Raymond, Kiss, Edgar E, Sommerfield, David, Griffis, Heather, Nishisaki, Akira, von Ungern-Sternberg, Britta S, Nadkarni, Vinay M, McGowan, Francis X, Jr, and Fiadjoe, John E

Published
2020
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23. Airway management in the paediatric difficult intubation registry: a propensity score matched analysis of outcomes over time

Author

Stein, Mary Lyn, primary, Sarmiento Argüello, Lina Andrea, additional, Staffa, Steven J., additional, Heunis, Julia, additional, Egbuta, Chinyere, additional, Flynn, Stephen G., additional, Khan, Sabina A., additional, Sabato, Stefano, additional, Taicher, Brad M., additional, Chiao, Franklin, additional, Bosenberg, Adrian, additional, Lee, Angela C., additional, Adams, H. Daniel, additional, von Ungern-Sternberg, Britta S., additional, Park, Raymond S., additional, Peyton, James M., additional, Olomu, Patrick N., additional, Hunyady, Agnes I., additional, Garcia-Marcinkiewicz, Annery, additional, Fiadjoe, John E., additional, Kovatsis, Pete G., additional, Bruins, Benjamin, additional, Stricker, Paul, additional, Laverriere, Elizabeth, additional, Lockman, Justin L., additional, Struyk, Brian, additional, Ward, Christopher, additional, Nishisaki, Akira, additional, Kodavatiganti, Ramesh, additional, Guris, Rodrigo Daly, additional, Sequera-Ramos, Luis, additional, Teen, Mark, additional, Oke, Ayodele, additional, Hsu, Grace, additional, Lingappan, Arul, additional, Battles, Rhae, additional, Bocanegra, Ashley, additional, Goldfarb, Tally, additional, Kiss, Edgar, additional, Szmuk, Peter, additional, Mireles, Sam, additional, Murray, Andrea, additional, Whyte, Simon, additional, Jain, Ranu, additional, Matuszczak, Maria, additional, Holmes, Christopher, additional, McCann, Alexander, additional, Matava, Clyde, additional, Dalesio, Nicholas, additional, Greenberg, Robert, additional, Lucero, Angela, additional, Desai, Sapna, additional, Rosander, Sondra, additional, Samba, Sindhu, additional, Schrock, Charles, additional, Nykiel-Bailey, Sydney, additional, Marsh, Jennifer, additional, Peterson, Melissa Brooks, additional, Lee, Amy, additional, Bhattacharya, Somaletha, additional, Burjek, Nicholas, additional, Jagannathan, Narasimhan, additional, Lardner, David, additional, Crockett, Christy, additional, Robetson, Sara, additional, Patel, Jasmine, additional, Sharma, Aarti, additional, Templeton, Thomas, additional, Marín, Piedad Echeverry, additional, Pérez-Pradilla, Carolina, additional, Singh, Neeta, additional, Sommerfield, David, additional, Hauser, Neil, additional, Hesselink, Emily, additional, Lewkowitz-Shpuntoff, Hilana, additional, Castro, Pilar, additional, Riveros Perez, N. Ricardo, additional, Vega, Eduardo, additional, González, Alejandro, additional, Ostermann, Paola, additional, Rubin, Kasia, additional, Meserve, Jonathan, additional, Lord, Charles, additional, Lee, Angela, additional, Valairucha, Songyos, additional, Dalal, Priti, additional, Tran, Thanh, additional, Anspach, Taylor, additional, Lee, Lisa K., additional, Ayad, Ihab, additional, Rehman, Mohamed, additional, Fernandez, Allison, additional, Zamora, Lillian, additional, Ravula, Niroop, additional, Shaik, Sadiq, additional, Szolnoki, Judit, additional, Mathew, Preethy, additional, Yaddanapudi, Sandhya, additional, Sen, Indu, additional, Gupta, Aakriti, additional, Handlogten, Kathryn, additional, Sroka, J. Michael, additional, Quintão, Vinícius Caldeira, additional, Carlos, Ricardo Vieira, additional, and Leite, Fernanda, additional

Published
2024
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26. Airway management in neonates and infants:European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines

Author

Disma, Nicola, Asai, Takashi, Cools, Evelien, Cronin, Alexandria, Engelhardt, Thomas, Fiadjoe, John, Fuchs, Alexander, Garcia-Marcinkiewicz, Annery, Habre, Walid, Heath, Chloe, Johansen, Mathias, Kaufmann, Jost, Kleine-Brueggeney, Maren, Kovatsis, Pete G., Kranke, Peter, Lusardi, Andrea C., Matava, Clyde, Peyton, James, Riva, Thomas, Romero, Carolina S., Von Ungern-Sternberg, Britta, Veyckemans, Francis, Afshari, Arash, Disma, Nicola, Asai, Takashi, Cools, Evelien, Cronin, Alexandria, Engelhardt, Thomas, Fiadjoe, John, Fuchs, Alexander, Garcia-Marcinkiewicz, Annery, Habre, Walid, Heath, Chloe, Johansen, Mathias, Kaufmann, Jost, Kleine-Brueggeney, Maren, Kovatsis, Pete G., Kranke, Peter, Lusardi, Andrea C., Matava, Clyde, Peyton, James, Riva, Thomas, Romero, Carolina S., Von Ungern-Sternberg, Britta, Veyckemans, Francis, and Afshari, Arash

Published
2024

29. Predictors of perioperative complications in paediatric cranial vault reconstruction surgery: a multicentre observational study from the Pediatric Craniofacial Collaborative Group

Author

Abruzzese, Christopher, Apuya, Jesus, Beethe, Amy, Benzon, Hubert, Binstock, Wendy, Brzenski, Alyssa, Budac, Stefan, Busso, Veronica, Chhabada, Surendrasingh, Chiao, Franklin, Cladis, Franklyn, Claypool, Danielle, Collins, Michael, Dabek, Rachel, Dalesio, Nicholas, Falconl, Ricardo, Fernandez, Allison, Fernandez, Patrick, Fiadjoe, John, Gangadharan, Meera, Gentry, Katherine, Glover, Chris, Goobie, Susan M., Gosman, Amanda, Grap, Shannon, Gries, Heike, Griffin, Allison, Haberkern, Charles, Hajduk, John, Hall, Rebecca, Hansen, Jennifer, Hetmaniuk, Mali, Hsieh, Vincent, Huang, Henry, Ingelmo, Pablo, Ivanova, Iskra, Jain, Ranu, Kars, Michelle, Kowalczyk-Derderian, Courtney, Kugler, Jane, Labovsky, Kristen, Lakheeram, Indrani, Lee, Andrew, Martinez, Jose Luis, Masel, Brian, Medellin, Eduardo, Meier, Petra, Levy, Heather Mitzel, Muhly, Wallis T., Muldowney, Bridget, Nelson, Jonathon, Nicholson, Julie, Nguyen, Kim-Phuong, Nguyen, Thanh, Olutuye, Olutoyin, Owens-Stubblefield, Margaret, Parekh, Uma Ramesh, Petersen, Timothy, Pohl, Vanessa, Post, Julian, Poteet-Schwartz, Kim, Prozesky, Jansie, Reddy, Srijaya, Reid, Russell, Ricketts, Karene, Rubens, Daniel, Ryan, Laura, Skitt, Rochelle, Soneru, Codruta, Spitznagel, Rachel, Stricker, Paul, Singh, Davinder, Singhal, Neil R., Sorial, Emad, Staudt, Susan, Stubbeman, Bobbie, Sung, Wai, Syed, Tariq, Szmuk, Peter, Taicher, Brad M., Thompson, Douglas, Tretault, Lisa, Ungar-Kastner, Galit, Watts, Rheana, Wieser, John, Wong, Karen, Zamora, Lillian, Goobie, S.M., Zurakowski, D., Isaac, K.V., Taicher, B.M., Fernandez, P.G., Derderian, C.K., Hetmaniuk, M., and Stricker, P.A.

Published
2019
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33. Airway management in neonates and infants

Author

Disma, Nicola, primary, Asai, Takashi, additional, Cools, Evelien, additional, Cronin, Alexandria, additional, Engelhardt, Thomas, additional, Fiadjoe, John, additional, Fuchs, Alexander, additional, Garcia-Marcinkiewicz, Annery, additional, Habre, Walid, additional, Heath, Chloe, additional, Johansen, Mathias, additional, Kaufmann, Jost, additional, Kleine-Brueggeney, Maren, additional, Kovatsis, Pete G., additional, Kranke, Peter, additional, Lusardi, Andrea C., additional, Matava, Clyde, additional, Peyton, James, additional, Riva, Thomas, additional, Romero, Carolina S., additional, von Ungern-Sternberg, Britta, additional, Veyckemans, Francis, additional, and Afshari, Arash, additional

Published
2023
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34. Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines

Author

Disma, Nicola, primary, Asai, Takashi, additional, Cools, Evelien, additional, Cronin, Alexandria, additional, Engelhardt, Thomas, additional, Fiadjoe, John, additional, Fuchs, Alexander, additional, Garcia-Marcinkiewicz, Annery, additional, Habre, Walid, additional, Heath, Chloe, additional, Johansen, Mathias, additional, Kaufmann, Jost, additional, Kleine-Brueggeney, Maren, additional, Kovatsis, Pete G., additional, Kranke, Peter, additional, Lusardi, Andrea C., additional, Matava, Clyde, additional, Peyton, James, additional, Riva, Thomas, additional, Romero, Carolina S., additional, von Ungern-Sternberg, Britta, additional, Veyckemans, Francis, additional, Afshari, Arash, additional, Srinivasan, Ilavajady, additional, Correia, Michelle, additional, Nghiem, Jessica, additional, Chowdhury, Apala R., additional, Marchesini, Vanessa, additional, Bonfiglio, Rachele, additional, and Bastianello, Matilde, additional

Published
2023
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35. Machine Learning Applied to Registry Data: Development of a Patient-Specific Prediction Model for Blood Transfusion Requirements During Craniofacial Surgery Using the Pediatric Craniofacial Perioperative Registry Dataset

Author

Jalali, Ali, Lonsdale, Hannah, Zamora, Lillian V., Ahumada, Luis, Nguyen, Anh Thy H., Rehman, Mohamed, Fackler, James, Stricker, Paul A., Fernandez, Allison M., Abruzzese, Christopher, Apuya, Jesus, Bhandari, Angelina, Beethe, Amy, Benzon, Hubert, Binstock, Wendy, Bradford, Victoria, Brzenski, Alyssa, Budac, Stefan, Busso, Veronica, Chhabada, Surendrasingh, Chiao, Franklin, Cladis, Franklyn, Claypool, Danielle, Collins, Michael, Correll, Lynnie, Costandi, Andrew, Dabek, Rachel, Dalesio, Nicholas, Echeverry, Piedad, Falcon, Ricardo, Fernandez, Patrick, Fiadjoe, John, Gangadharan, Meera, Gentry, Katherine, Glover, Chris, Goobie, Susan M., Gosman, Amanda, Grivoyannis, Anastasia, Grap, Shannon, Gries, Heike, Griffin, Allison, Hajduk, John, Haas, Thorsten, Hall, Rebecca, Hansen, Jennifer, Hetmaniuk, Mali, Homi, H. Mayumi, Hsieh, Vincent, Huang, Henry, Ingelmo, Pablo, Ivanova, Iskra, Jain, Ranu, Kanmanthreddy, Siri, Kars, Michelle, King, Mike, Koller, John, Kowalczyk-Derderian, Courtney, Kugler, Jane, Labovsky, Kristen, Lakheeram, Indrani, Lazar, Alina, Lee, Andrew, Lee, Jennifer, Luis Martinez, Jose, Masel, Brian, Mason, Aaron, Medellin, Eduardo, Mehta, Vivek, Meier, Petra, Mitzel Levy, Heather, Muhly, Wallis T., Muldowney, Bridget, Nelson, Jonathon, Nicholson, Julie, Nguyen, Kim-Phuong, Nguyen, Thanh, Owens-Stubblefield, Margaret, Pankratz, Matt, Ramesh Parekh, Uma, Patel, Jasmine, Patel, Roshan, Perez-Pradilla, Carolina, Petersen, Timothy, Post, Julian, Poteet-Schwartz, Kim, Ranganathan, Pavithra, Reddy, Srijaya, Reid, Russell, Ricketts, Karene, Rodgers McCormick, Megan, Ryan, Laura, Sbrollini, Kaitlyn, Seidman, Peggy, Singh, Davinder, Singhal, Neil R., Skitt, Rochelle, Soneru, Codruta, Sorial, Emad, Spitznagel, Rachel, Stubbeman, Bobbie, Sunder, Rani, Sung, Wai, Syed, Tariq, Szmuk, Peter, Taicher, Brad M., Taylor, Jenna, Thompson, Douglas, Tretault, Lisa, Ungar-Kastner, Galit, Wieser, John, Wong, Karen, and Yates, Hannah

Published
2021
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36. Difficult intubation in syndromic versus nonsyndromic forms of micrognathia in children.

Author

Hunyady, Agnes I., Sergeeva, Vera, Kovatsis, Pete G., Evans, Kelly N., Staffa, Steven J., Zurakowski, David, Fiadjoe, John E., Jimenez, Nathalia, von Ungern‐Sternberg, Britta S, Sommerfield, David, Hauser, Neil, Taicher, Brad M, Dalesio, Nicholas M, Matuszczak, Maria, Garcia‐Marcinkiewicz, Annery G., Bruins, Benjamin B., Kodavatiganti, Ramesh, Hsu, Grace, Ward, Christopher, and Struyk, Brian

Subjects
TRACHEA intubation, MICROGNATHIA, INTUBATION, PROPENSITY score matching, CRANIOFACIAL abnormalities
Abstract

Background: We investigated how syndromic versus nonsyndromic forms of micrognathia impacted difficult intubation outcomes in children. Primary outcome was the first‐attempt success rate of tracheal intubation, secondary outcomes were number of intubation attempts and complications. We hypothesized that syndromic micrognathia would be associated with lower first‐attempt success rate. Methods: In micrognathic patients enrolled in the Pediatric Difficult Intubation Registry (08/2012–03/2019) we retrospectively compared demographic and clinical characteristics between children with nonsyndromic and syndromic micrognathia using standardized mean differences (SMD) and assessed the association of the presence of syndrome with the primary and secondary outcomes using propensity score matching analysis with and without matching for airway assessment findings. Results: Nonsyndromic patients (628) were less likely to have additional airway abnormalities. Syndromic patients (216) were less likely to have unanticipated difficult intubation (2% vs. 20%, SMD 0.59). First‐attempt success rates of intubation were: 38% in the syndromic versus 34% in the nonsyndromic group (odds ratio [OR] 1.18; 95% confidence intervals [95% CI] 0.74, 1.89; p =.478), and 37% versus 37% (OR 0.99; 95% CI 0.66, 1.48; p =.959). Median number of intubation attempts were 2 (interquartile range [IQR]: 1, 3; range: 1, 8) versus 2 (IQR: 1, 3; range 1, 12) (median regression coefficient = 0; 95% CI: −0.7, 0.7; p =.999) and 2 (IQR: 1, 3; range: 1, 12) versus 2 (IQR: 1, 3; range 1, 8) (median regression coefficient = 0; 95% CI: −0.5, 0.5; p =.999). Complication rates were 14% versus 22% (OR 0.6; 95% CI 0.34, 1.04; p =.07) and 16% versus 21% (OR 0.71; 95% CI 0.43, 1.17; p =.185). Conclusions: Presence of syndrome was not associated with lower first‐attempt success rate on intubation, number of intubation attempts, or complication rate among micrognathic patients difficult to intubate, despite more associated craniofacial abnormalities. Nonsyndromic patients were more likely to have unanticipated difficult intubations, first attempt with direct laryngoscopy. [ABSTRACT FROM AUTHOR]

Published
2024
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43. Contributors

Author

Adams, Trevor L., primary, Adler, Adam C., additional, Ames, Warwick A., additional, Anderson, Brian J., additional, Andropoulos, Dean B., additional, Anixter, Martin B., additional, Arnold, Philip, additional, Baker, Robert, additional, Bender, M.A., additional, Berde, Charles B., additional, Berenstain, Laura K., additional, Blasiole, Brian, additional, Bösenberg, Adrian T., additional, Brown, Karen A., additional, Brusseau, Roland, additional, Cain, James Gordon, additional, Chidambaran, Vidya, additional, Cladis, Franklyn P., additional, Claure, Rebecca E., additional, Cooper, Jeffrey B., additional, Coté, Charles J., additional, Cravero, Joseph P., additional, Crean, Peter M., additional, Davidson, Andrew J., additional, Davis, Peter J., additional, DiNardo, James A., additional, Eisses, Michael J., additional, Fiadjoe, John E., additional, Firth, Paul G., additional, Foreman, John W., additional, Forshaw, Natalie, additional, Fortier, Michelle A., additional, Gangadharan, Sandeep, additional, Gertler, Ralph, additional, Ghazal, Elizabeth A., additional, Goldschneider, Kenneth, additional, Gottlieb, Erin A., additional, Grabowski, Eric F., additional, Grogan, Kelly L., additional, Gulur, Padma, additional, Haberkern, Charles M., additional, Hammer, Gregory B., additional, Hannallah, Raafat S., additional, Hansen, Tom G., additional, Havidich, Jeana E., additional, Henneberg, Steen W., additional, Houghton, James, additional, Jaichenco, Andre L., additional, Kain, Zeev N., additional, Kaplan, Richard F., additional, Karmakar, Manoj K., additional, Kinane, T. Bernard, additional, Krane, Elliot J., additional, Kwok, Wing H., additional, Rolo, Vasco Laginha, additional, Lam, Jennifer E., additional, Landrigan-Ossar, Mary, additional, Latham, Gregory J., additional, Lerman, Jerrold, additional, Lima, Luciana Cavalcanti, additional, Litman, Ronald S., additional, Loepke, Andreas W., additional, Mai, Christine L., additional, Marciniak, Bruno, additional, Martyn, J.A. Jeevendra, additional, Mason, Linda J., additional, Mayes, Linda C., additional, McClain, Craig D., additional, McEwan, Angus, additional, McManus, Michael L., additional, Mendoza, Julianne, additional, Mihm, Frederick G., additional, Miller-Hance, Wanda C., additional, Nawathe, Pooja, additional, Parness, Jerome, additional, Polaner, David M., additional, Rawlinson, Ellen, additional, Rhodes, Erinn T., additional, Ross, Faith J., additional, Ross, Patrick A., additional, Rowe, Echo, additional, Sadhasivam, Senthilkumar, additional, Schleien, Charles L., additional, Schure, Annette Y., additional, Serber, Julia F., additional, Shank, Erik S., additional, Soriano, Sulpicio G., additional, Spaeth, James P., additional, Squires, James E., additional, Squires, Robert H., additional, Stowell, Christopher P., additional, Stricker, Paul A., additional, Suresh, Santhanam, additional, Szabova, Alexandra, additional, Szyld, Demian, additional, Taenzer, Andreas H., additional, Tirupathi, Sandya, additional, Tobin, Joseph R., additional, Vadi, Marissa G., additional, Verghese, Susan T., additional, Waisel, David B., additional, Wald, Samuel H., additional, Walker, Benjamin J., additional, Weaver, R. Grey, additional, Wesson, David E., additional, Wigfall, Delbert R., additional, Wilton, Niall C., additional, Wolfsdorf, Joseph I., additional, and Young, David A., additional

Published
2019
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44. The Pediatric Airway

Author

Fiadjoe, John E., primary, Litman, Ronald S., additional, Serber, Julia F., additional, Stricker, Paul A., additional, and Coté, Charles J., additional

Published
2019
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46. Perioperative Outcomes and Surgical Case Volume in Pediatric Complex Cranial Vault Reconstruction: A Multicenter Observational Study From the Pediatric Craniofacial Collaborative Group

Author

Fernandez, Allison M., Reddy, Srijaya K., Gordish-Dressman, Heather, Muldowney, Bridget L., Martinez, José Luis, Chiao, Franklin, Stricker, Paul A., Abruzzese, Christopher, Apuya, Jesus, Beethe, Amy, Benzon, Hubert, Binstock, Wendy, Brzenski, Alyssa, Budac, Stefan, Busso, Veronica, Chhabada, Surendrasingh, Cladis, Franklyn, Claypool, Danielle, Collins, Michael, Dabek, Rachel, Dalesio, Nicholas, Falcon, Ricardo, Fernandez, Patrick, Fiadjoe, John, Gangadharan, Meera, Gentry, Katherine, Glover, Chris, Goobie, Susan M., Gosman, Amanda, Grap, Shannon, Gries, Heike, Griffin, Allison, Haberkern, Charles, Hajduk, John, Hall, Rebecca, Hansen, Jennifer, Hetmaniuk, Mali, Hsieh, Vincent, Huang, Henry, Ingelmo, Pablo, Ivanova, Iskra, Jain, Ranu, Kars, Michelle, Kowalczyk-Derderian, Courtney, Kugler, Jane, Labovsky, Kristen, Lakheeram, Indrani, Lee, Andrew, Masel, Brian, Medellin, Eduardo, Meier, Petra, Mitzel Levy, Heather, Muhly, Wallis T., Nelson, Jonathon, Nicholson, Julie, Nguyen, Kim-Phuong, Nguyen, Thanh, Olutuye, Olutoyin, Owens-Stubblefield, Margaret, Ramesh Parekh, Uma, Petersen, Timothy, Pohl, Vanessa, Post, Julian, Poteet-Schwartz, Kim, Prozesky, Jansie, Reid, Russell, Ricketts, Karene, Rubens, Daniel, Ryan, Laura, Skitt, Rochelle, Soneru, Codruta, Spitznagel, Rachel, Singh, Davinder, Singhal, Neil R., Sorial, Emad, Staudt, Susan, Stubbeman, Bobbie, Sung, Wai, Syed, Tariq, Szmuk, Peter, Taicher, Brad M., Thompson, Douglas, Tretault, Lisa, Ungar-Kastner, Galit, Watts, Rheana, Wieser, John, Wong, Karen, and Zamora, Lillian

Published
2019
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49. Difficult or impossible facemask ventilation in children with difficult tracheal intubation:a retrospective analysis of the PeDI registry

Author

Garcia-Marcinkiewicz, Annery G., Lee, Lisa K., Haydar, Bishr, Fiadjoe, John E., Matava, Clyde T., Kovatsis, Pete G., Peyton, James, Stein, Mary L., Park, Raymond, Taicher, Brad M., Templeton, Thomas W., Bruins, Benjamin B., Stricker, Paul, Laverriere, Elizabeth K., Lockman, Justin L., Struyk, Brian, Ward, Christopher, Nishisaki, Akira, Kodavatiganti, Ramesh, Daly Guris, Rodrigo J., Sequera-Ramos, Luis, Teen, Mark S., Oke, Ayodele, Hsu, Grace, Lingappan, Arul, Egbuta, Chinyere, Flynn, Stephen, Sarmiento, Lina, Goldfarb, Tally, Kiss, Edgar E., Olomu, Patrick N., Szmuk, Peter, Mireles, Sam, Murray, Andrea, Whyte, Simon, Jain, Ranu, Matuszczak, Maria, Hunyady, Agnes, Bosenberg, Adrian, Tham, See, Low, Daniel, Holmes, Christopher, Sabato, Stefan, Dalesio, Nicholas, Greenberg, Robert, Lucero, Angela, Reynolds, Paul, Lewis, Ian, Schrock, Charles, de Graaff, Jurgen C., Garcia-Marcinkiewicz, Annery G., Lee, Lisa K., Haydar, Bishr, Fiadjoe, John E., Matava, Clyde T., Kovatsis, Pete G., Peyton, James, Stein, Mary L., Park, Raymond, Taicher, Brad M., Templeton, Thomas W., Bruins, Benjamin B., Stricker, Paul, Laverriere, Elizabeth K., Lockman, Justin L., Struyk, Brian, Ward, Christopher, Nishisaki, Akira, Kodavatiganti, Ramesh, Daly Guris, Rodrigo J., Sequera-Ramos, Luis, Teen, Mark S., Oke, Ayodele, Hsu, Grace, Lingappan, Arul, Egbuta, Chinyere, Flynn, Stephen, Sarmiento, Lina, Goldfarb, Tally, Kiss, Edgar E., Olomu, Patrick N., Szmuk, Peter, Mireles, Sam, Murray, Andrea, Whyte, Simon, Jain, Ranu, Matuszczak, Maria, Hunyady, Agnes, Bosenberg, Adrian, Tham, See, Low, Daniel, Holmes, Christopher, Sabato, Stefan, Dalesio, Nicholas, Greenberg, Robert, Lucero, Angela, Reynolds, Paul, Lewis, Ian, Schrock, Charles, and de Graaff, Jurgen C.

Abstract

Background: Difficult facemask ventilation is perilous in children whose tracheas are difficult to intubate. We hypothesised that certain physical characteristics and anaesthetic factors are associated with difficult mask ventilation in paediatric patients who also had difficult tracheal intubation. Methods: We queried a multicentre registry for children who experienced “difficult” or “impossible” facemask ventilation. Patient and case factors known before mask ventilation attempt were included for consideration in this regularised multivariable regression analysis. Incidence of complications, and frequency and efficacy of rescue placement of a supraglottic airway device were also tabulated. Changes in quality of mask ventilation after injection of a neuromuscular blocking agent were assessed. Results: The incidence of difficult mask ventilation was 9% (483 of 5453 patients). Infants and patients having increased weight, being less than 5th percentile in weight for age, or having Treacher-Collins syndrome, glossoptosis, or limited mouth opening were more likely to have difficult mask ventilation. Anaesthetic induction using facemask and opioids was associated with decreased risk of difficult mask ventilation. The incidence of complications was significantly higher in patients with “difficult” mask ventilation than in patients without. Rescue placement of a supraglottic airway improved ventilation in 71% (96 of 135) of cases. Administration of neuromuscular blocking agents was more frequently associated with improvement or no change in quality of ventilation than with worsening. Conclusions: Certain abnormalities on physical examination should increase suspicion of possible difficult facemask ventilation. Rescue use of a supraglottic airway device in children with difficult or impossible mask ventilation should be strongly considered.

Published
2023

50. The role of WhatsApp™ in pediatric difficult airway management: A study from the PeDI Collaborative.

Author

Pankiv, Evelina, Achaibar, Kira, Hossain, Alomgir, Fiadjoe, John E., Matava, Clyde T., von Ungern‐Sternberg, Britta S., Sommerfield, David, Holmes, Chris, Sabato, Stefano, Ravula, Niroop, Jette, Christine, Mireles, Sam, Olsen, Julia, Greenwood, Eric, Whyte, Simon, Vega, Eduardo, Yang, Lei, Echeverry‐Marin, Piedad, Pérez‐Pradilla, Carolina, and Jagannathan, Narasimhan

Subjects
AIRWAY (Anatomy), CHILD patients, INFORMATION sharing, RESEARCH ethics, DATABASES
Abstract

Background: Management of the pediatric difficult airway can present unique clinical challenges. The Pediatric Difficult Intubation Collaborative (PeDI‐C) is an international collaborative group engaging in quality improvement and research in children with difficult airways. The PeDI‐C established a WhatsApp™ group to facilitate real‐time discussions around the management of the difficult airway in pediatric patients. The goals of this study were to evaluate the patterns of use of the WhatsApp™ group, themes on messages posted on pediatric difficult airway management and to assess the perceived usefulness of the WhatsApp™ group by the PeDI‐C members. Method: Following research ethics approval, we performed a database analysis on the archived discussion of the PeDI‐C WhatsApp™ group from 2014 to 2019 and surveyed members to assess the perceived usefulness of the PeDI‐C WhatsApp™ group. Results: 5781 messages were reviewed with 350 (6.0%) original stems. The three most common original stem types were advice seeking 98 (28%), announcements 85 (24.2%), and clinical case‐sharing 78 (22.2%). The median number of responses to original stems was 9 [2–21.3]. Post types associated with increased responses included those seeking advice on medication/equipment (regression coefficient 0.78, 95% CI [0.41–1.16]; p <.0001); seeking advice on patient care (regression coefficient 1.16, 95% CI [0.86–1.45]; p <.0001), sharing advice on medication/equipment availability (regression coefficient 0.87, 95% CI [0.33–1.40], p <.0016), and clinical case‐sharing (regression coefficient 1.2547, 95% CI [0.9401–1.5693] p <.0001). 46/64 members of the group responded to the survey. Replies offering advice regarding patient management scenarios were found to be of most interest and 77% of surveyed members found the discussion translatable into their own clinical practice. Discussion: The PeDI‐C WhatsApp™ group has facilitated timely knowledge exchange on pediatric difficult airway management across the world. Participants are satisfied with the role the Whatsapp™ group is playing. [ABSTRACT FROM AUTHOR]

Published
2023
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