ABSTRACT

Anesthesia and airway management for pediatric bronchoscopy are dynamic and collaborative, and require clinical expertise and familiarity with equipment in order to carry out the procedure safely and successfully. Location, timing, goals of the procedure, clinical condition of the patient, and a wide variety of options for airway and anesthetic management strategies are the most important factors to consider when performing pediatric bronchoscopy. Team-based decision making before and during the procedure, as well as goal-specific administration of medication and open communication among anesthesia and proceduralists are also vital factors for safety and success. This chapter reviews these and other relevant considerations for decision making with regard to pediatric bronchoscopy, a variety of airway management strategies, utilization of airway adjuncts and advanced airway equipment, anesthetic medications for bronchoscopy, and a team-based approach to shared airway management. Working knowledge of the above topics ensures a safe, efficient, and successful pediatric bronchoscopy. Pediatric bronchoscopy requires that all participants have working knowledge of their respective equipment and a flexible, tailored technique for the particular patient and the goals of the procedure. This requires a communicative team to act as one unit.