Pediatric airway management can be challenging and results in hypoxia and inadequate
ventilation more frequently than in adults. The Association of Pediatric Anesthetists
recommends placement of Supraglottic Airway (SGA) devices as a rescue technique and
to intubate through an SGA via flexible bronchoscopy (FB) if necessary. Prior studies
have demonstrated incompatibilities between pediatric SGAs and endotracheal tubes
(ETTs) when intubating through the SGA. Some common problems are that the ETT does
not fit through the SGA due to their diameters or that the pilot balloon for a cuffed
ETT must be cut off in order to remove the SGA once the ETT has been placed.
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