Neonatal Airway Management

Clin Perinatol. 2019 Dec;46(4):745-763. doi: 10.1016/j.clp.2019.08.008. Epub 2019 Aug 19.

Abstract

Safe and effective airway management of neonates requires unique knowledge and clinical skills. Practitioners should have an understanding of neonatal airway anatomy and respiratory physiology and their clinical implications related to airway management. It is vital to recognize the potential sequelae of prematurity. Clinicians should be familiar with the skills and techniques available for managing normal neonatal airways. This review provides stepwise considerations for managing the neonatal airway: specific considerations for neonatal airway management, assessment and preparation, induction and premedication, and techniques and strategies for airway management in patients with normal anatomy and in patients who are difficult to intubate.

Keywords: Airway management; Intubation; Neonate; Prematurity; Respiratory physiology.

Publication types

  • Review

MeSH terms

  • Airway Management / methods
  • Humans
  • Hypnotics and Sedatives / therapeutic use*
  • Infant, Newborn
  • Infant, Premature
  • Intubation, Intratracheal / methods*
  • Laryngeal Masks
  • Laryngoscopy / methods*
  • Larynx / anatomy & histology
  • Lung Compliance / physiology
  • Masks
  • Mouth / anatomy & histology
  • Neuromuscular Blockade / methods
  • Noninvasive Ventilation / methods
  • Pharynx / anatomy & histology
  • Skull / anatomy & histology
  • Tongue / anatomy & histology

Substances

  • Hypnotics and Sedatives