Improving airway management in pediatric emergency intubation: A narrative review with a focus on bougie guidance in settings with limited resources

Abstract Background Effective airway management in pediatric emergency settings, especially in resource‐limited environments, presents unique challenges that necessitate innovative solutions. Objectives This review investigates the role of bougie‐guided pediatric intubation as a crucial technique in...

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Main Authors: Mohamed Mohamed Belal, Gbolahan Olatunji, Emmanuel Kokori, Nicholas Aderinto, Abdalhakim Shubietah, Mohammed Alsabri
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Hong Kong Journal of Emergency Medicine
Subjects:
Online Access:https://doi.org/10.1002/hkj2.12056
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author Mohamed Mohamed Belal
Gbolahan Olatunji
Emmanuel Kokori
Nicholas Aderinto
Abdalhakim Shubietah
Mohammed Alsabri
author_facet Mohamed Mohamed Belal
Gbolahan Olatunji
Emmanuel Kokori
Nicholas Aderinto
Abdalhakim Shubietah
Mohammed Alsabri
author_sort Mohamed Mohamed Belal
collection DOAJ
description Abstract Background Effective airway management in pediatric emergency settings, especially in resource‐limited environments, presents unique challenges that necessitate innovative solutions. Objectives This review investigates the role of bougie‐guided pediatric intubation as a crucial technique in addressing these challenges. Methods A comprehensive search of peer‐reviewed literature was conducted using reputable databases such as PubMed, Scopus, Google Scholar, and Web of Science. Suitable keywords and Medical Subject Headings terms were employed. Data extraction focused on study design, patient demographics, intervention protocols, primary outcomes, and safety profiles. A qualitative synthesis was performed to provide a comprehensive narrative review. Results Pediatric bougies, known for their cost‐effectiveness and adaptability, emerge as promising tools for successful and efficient pediatric intubation. Comparative studies indicate that bougie use results in superior first‐pass success rates and reduced intubation times. Case studies highlight the bougie's versatility in managing difficult pediatric airways. Conclusions The bougie's cost‐effectiveness positions it as a practical solution to disparities in treatment levels. Successful pediatric intubation in resource‐limited settings requires improved accessibility, standardized proficiency, and infrastructure readiness. Integrating the bougie into pediatric airway management guidelines represents a proactive approach to these challenges.
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spelling doaj-art-1f79d1dbc5f14347afaf6902e4760f082025-08-20T02:34:46ZengWileyHong Kong Journal of Emergency Medicine1024-90792309-54072024-12-0131643544610.1002/hkj2.12056Improving airway management in pediatric emergency intubation: A narrative review with a focus on bougie guidance in settings with limited resourcesMohamed Mohamed Belal0Gbolahan Olatunji1Emmanuel Kokori2Nicholas Aderinto3Abdalhakim Shubietah4Mohammed Alsabri5Faculty of Medicine Alexandria University Alexandria EgyptFaculty of Clinical Sciences University of Ilorin Ilorin NigeriaDepartment of Medicine and Surgery University of Ilorin Ilorin NigeriaDepartment of Medicine and Surgery Ladoke Akintola University of Technology Ogbomoso NigeriaInternal Medicine Department Advocate Illinois Masonic Medical Center Chicago Illinois USAEmergency Department Al‐Thawara Modern General Hopsital Sana'a YemenAbstract Background Effective airway management in pediatric emergency settings, especially in resource‐limited environments, presents unique challenges that necessitate innovative solutions. Objectives This review investigates the role of bougie‐guided pediatric intubation as a crucial technique in addressing these challenges. Methods A comprehensive search of peer‐reviewed literature was conducted using reputable databases such as PubMed, Scopus, Google Scholar, and Web of Science. Suitable keywords and Medical Subject Headings terms were employed. Data extraction focused on study design, patient demographics, intervention protocols, primary outcomes, and safety profiles. A qualitative synthesis was performed to provide a comprehensive narrative review. Results Pediatric bougies, known for their cost‐effectiveness and adaptability, emerge as promising tools for successful and efficient pediatric intubation. Comparative studies indicate that bougie use results in superior first‐pass success rates and reduced intubation times. Case studies highlight the bougie's versatility in managing difficult pediatric airways. Conclusions The bougie's cost‐effectiveness positions it as a practical solution to disparities in treatment levels. Successful pediatric intubation in resource‐limited settings requires improved accessibility, standardized proficiency, and infrastructure readiness. Integrating the bougie into pediatric airway management guidelines represents a proactive approach to these challenges.https://doi.org/10.1002/hkj2.12056airway managementbougieemergencypediatricresource‐limited setting
spellingShingle Mohamed Mohamed Belal
Gbolahan Olatunji
Emmanuel Kokori
Nicholas Aderinto
Abdalhakim Shubietah
Mohammed Alsabri
Improving airway management in pediatric emergency intubation: A narrative review with a focus on bougie guidance in settings with limited resources
Hong Kong Journal of Emergency Medicine
airway management
bougie
emergency
pediatric
resource‐limited setting
title Improving airway management in pediatric emergency intubation: A narrative review with a focus on bougie guidance in settings with limited resources
title_full Improving airway management in pediatric emergency intubation: A narrative review with a focus on bougie guidance in settings with limited resources
title_fullStr Improving airway management in pediatric emergency intubation: A narrative review with a focus on bougie guidance in settings with limited resources
title_full_unstemmed Improving airway management in pediatric emergency intubation: A narrative review with a focus on bougie guidance in settings with limited resources
title_short Improving airway management in pediatric emergency intubation: A narrative review with a focus on bougie guidance in settings with limited resources
title_sort improving airway management in pediatric emergency intubation a narrative review with a focus on bougie guidance in settings with limited resources
topic airway management
bougie
emergency
pediatric
resource‐limited setting
url https://doi.org/10.1002/hkj2.12056
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