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doi: 10.1097/ACC.0b013e3182a07159
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Editorial Comment: Ultrasound Use in the Pediatric Airway: The Time Has Come

Davis, Peter J. MD

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Dr. Joseph H. Marcy Endowed Chair in Pediatric Anesthesia, Anesthesiologist-in-Chief, Children's Hospital of Pittsburgh, Professor of Anesthesiology & Pediatrics University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh of UPMC One Children's Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224, (412) 692-5260

Accepted for publication June 12, 2013.

The report by Dalesio et al.1 describes a novel use of ultrasound to image the pediatric airway. Although there are no data to support its usefulness with regard to defining airway pathology, this technique offers a number of potential possibilities.

In view of the frequent incidence of airway events leading to anesthesia morbidity and mortality,2–6 techniques that may noninvasively diagnose airway pathology as well as possibly obviate the need for general anesthesia to assist in the airway evaluation should be seen as a welcome addition.

While it is still too early to determine the role of ultrasound in the evaluation of the pediatric airway, if it has a similar course to its role in establishing venous access and improving the success of regional anesthesia, it will only be a matter of time before its true applicability for airway management is known.

Peter J. Davis, MD

Dr. Joseph H. Marcy Endowed Chair

in Pediatric Anesthesia

Anesthesiologist-in-Chief

Children's Hospital of Pittsburgh

Professor of Anesthesiology & Pediatrics University

of Pittsburgh School of Medicine

Children's Hospital of Pittsburgh of UPMC

One Children's Hospital Drive

4401 Penn Avenue

Pittsburgh, PA 15224

(412) 692-5260

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REFERENCES

1. Dalesio NM, Kattail D, Ishman SL. Ultrasound use in the pediatric airway: the time has come. Anesth Analg. 2014;2:23–6

2. Murat I, Constant I, Maud’huy H. Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period. Paediatr Anaesth. 2004;14:158–66

3. Bhananker SM, Ramamoorthy R, Posner KL, Domino KB, Morray JP. Changing profile of anesthesia-related cardiac arrests in children: update from Pediatric Perioperative Cardiac Arrest (POCA) Registry [abstract]. Anesthesiology. 2005;103:A1310

4. Cohen MM, Cameron CB, Duncan PG. Pediatric anesthesia morbidity and mortality in the perioperative period. Anesth Analg. 1990;70:160–7

5. Morray JP, Geiduschek JM, Ramamoorthy C, Haberkern CM, Hackel A, Caplan RA, Domino KB, Posner K, Cheney FW. Anesthesia-related cardiac arrest in children: initial findings of the Pediatric Perioperative Cardiac Arrest (POCA) Registry. Anesthesiology. 2000;93:6–14

6. Morray JP. Anesthesia-related cardiac arrest in children: an update. Anesthesiol Clin North Am. 2002;20:1–28

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