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Management of the paediatric airway: New developments

机译：儿科气道的管理：新进展

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During the last 2 years, some interesting new devices have been made available to improve airway management in children and infants, and several studies have advanced our understanding concerning risks and benefits of the current practice in the field. Certain risk factors for airway related problems during anaesthesia in children having a cold have been identified, and new aspects of the controversy concerning the use of cuffed endotracheal tubes in children presented. Novel video-assisted systems have been introduced for the management of the difficult airway in paediatric patients, and new applications for well known devices have been suggested, such as the laryngeal mask airway serving as guidance for fibreoptic intubation. Recent studies also demonstrated specific problems with the laryngeal mask airway in infants, as well as the advantages of a new prototypic laryngeal mask airway for children, similar to the ProSealTM (LMA International S.A. Group, USA). Furthermore, the following review presents new data about the use of the cuffed oropharyngeal airway, the laryngeal tube, and the Arndt bronchus blocker in paediatric patients. < copyright > 2002 Lippincott Williams & Wilkins.
机译：在过去的两年中，已经提供了一些有趣的新设备来改善儿童和婴儿的气道管理，并且一些研究使我们对该领域当前实践的风险和益处有了更深入的了解。已经确定了感冒患儿在麻醉期间与气道有关的问题的某些风险因素，并且提出了有关在儿童中使用袖带式气管导管的争议的新方面。已经引入了新颖的视频辅助系统来管理小儿患者的困难气道，并且已经提出了众所周知的设备的新应用，例如喉罩气道可作为光纤插管的指南。最近的研究还表明，婴儿的喉罩气道存在特定的问题，以及一种新的原型儿童喉罩气道的优点，类似于ProSeal TM （美国LMA国际集团）。此外，以下评论提供了有关在患儿中使用带套口咽气道，喉管和Arndt支气管阻滞剂的新数据。 <版权> 2002 Lippincott Williams＆Wilkins。

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