The management of upper respiratory tract in paediatric emergencies
1 Pracownia Ratownictwa Medycznego, Uniwersytet Medyczny w Lublinie. Kierownik Pracowni: ppłk dr n. med. Mariusz Goniewicz
2 Zakład Medycyny Katastrof, Uniwersytet Medyczny w Poznaniu. Kierownik Zakładu: dr n. med. Magdalena Witt Adres do korespondencji: Pracownia Ratownictwa Medycznego, Uniwersytet Medyczny w Lublinie, ul. Chodźki 6, 20‑093 Lublin,  e‑mail: mariusz.goniewicz@gmail.com
Praca finansowana ze środków własnych
PEDIATR MED RODZ Vol 8 Numer 4, p. 342-350
ABSTRACT
Introduction: Most cases of sudden cardiac arrest occurring in children is mainly due to asphyxia than primary myocardial dysfunction associated with arrhythmias. Respiratory failure leading to cardiac arrest can often be caused by airway obstruction, respiratory disease and injury. Regardless of the cause of airway obstruction (foreign body, asthmaticus status, trauma), both, resuscitation proceedings and treatment of the underlying disease may be ineffective if the patency of the airway and attempt to restore adequate ventilation and oxygenation of blood will be delayed or inadequate. Objectives: The objective of this study was to presents the most effective methods of respiratory tract management in the life‑threatening condition among children discussed in the world literature and recommended by the European Resuscitation Council. Material and methods: The testing method applied to analyse the content of airway methods in the states direct threat to the life of children included in the publications indexed in databases of medical literature and synthesize their own practical experience. Conclusions: In children with preserved conscious defensive reflexes and proper respiratory endurance airway patency is tilted head and exits the mandible forward. In children, unconscious of defensive reflexes absent best way is airway intubation. In case of encounter obstacles intubation or lack of appropriate skills, is recommended to use supraglottic airway devices.
Keywords: airway management, tracheal intubation, supraglottic airway devices, children, European Resus‑ citation Council