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Basic airway management in children

Susan B Torrey, MD
Section Editor
Gary R Fleisher, MD
Deputy Editor
James F Wiley, II, MD, MPH


Basic airway management (including positioning to open the airway and positive pressure ventilation with mouth-to-mouth and bag and mask) will be reviewed here.

The following related topics are discussed separately:

Advanced airway management in children (see "Emergency endotracheal intubation in children")

Basic life support in infants and children (see "Pediatric basic life support for health care providers")

The initial assessment and stabilization of critically ill or injured (see "Initial assessment and stabilization of children with respiratory or circulatory compromise" and "Pediatric advanced life support (PALS)")  

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Literature review current through: Nov 2017. | This topic last updated: Sep 15, 2017.
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  1. López-Herce J, García C, Domínguez P, et al. Outcome of out-of-hospital cardiorespiratory arrest in children. Pediatr Emerg Care 2005; 21:807.
  2. Schindler MB, Bohn D, Cox PN, et al. Outcome of out-of-hospital cardiac or respiratory arrest in children. N Engl J Med 1996; 335:1473.
  3. Young KD, Gausche-Hill M, McClung CD, Lewis RJ. A prospective, population-based study of the epidemiology and outcome of out-of-hospital pediatric cardiopulmonary arrest. Pediatrics 2004; 114:157.
  4. Herlitz J, Engdahl J, Svensson L, et al. Characteristics and outcome among children suffering from out of hospital cardiac arrest in Sweden. Resuscitation 2005; 64:37.
  5. Ludwig S, Lavelle JM. Resuscitation - Pediatric basic and advanced life support. In: Textbook of Pediatric Emergency Medicine, 6th ed, Fleisher GR, Ludwig S, Henretig FM (Eds), Wolters Kluwer | Lippincott, Williams & Wilkins, Philadelphia 2010. p.1.
  6. Berg MD, Schexnayder SM, Chameides L, et al. Part 13: pediatric basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122:S862.
  7. Pediatric Advanced Life Support Provider Manual, Chameides L, Samson RA, Schexnayder SM, Hazinski MF (Eds), American Heart Association, Dallas 2012.
  8. King BR, King C, Coates WC. Critical procedures. In: APLS: The Pediatric Emergency Medicine Resource, 4th, Gausche-Hill M, Fuchs S, Yamamoto L (Eds), Jones and Bartlett, Sudbury 2004. p.692.
  9. Pediatric Advanced Life Support Provider Manual, Chameides L, Samson RA, Schexnayder SM, Hazinski MF (Eds), American Heart Association, Dallas 2012.
  10. Roberts K, Whalley H, Bleetman A. The nasopharyngeal airway: dispelling myths and establishing the facts. Emerg Med J 2005; 22:394.
  11. Berg RA, Sanders AB, Milander M, et al. Efficacy of audio-prompted rate guidance in improving resuscitator performance of cardiopulmonary resuscitation on children. Acad Emerg Med 1994; 1:35.
  12. Melker RJ. Asynchronous and other alternative methods of ventilation during CPR. Ann Emerg Med 1984; 13:758.
  13. Kanter RK. Evaluation of mask-bag ventilation in resuscitation of infants. Am J Dis Child 1987; 141:761.
  14. Mondolfi AA, Grenier BM, Thompson JE, Bachur RG. Comparison of self-inflating bags with anesthesia bags for bag-mask ventilation in the pediatric emergency department. Pediatr Emerg Care 1997; 13:312.
  15. Campbell TP, Stewart RD, Kaplan RM, et al. Oxygen enrichment of bag-valve-mask units during positive-pressure ventilation: a comparison of various techniques. Ann Emerg Med 1988; 17:232.
  16. Hirschman AM, Kravath RE. Venting vs ventilating. A danger of manual resuscitation bags. Chest 1982; 82:369.
  17. Terndrup TE, Kanter RK, Cherry RA. A comparison of infant ventilation methods performed by prehospital personnel. Ann Emerg Med 1989; 18:607.
  18. Field D, Milner AD, Hopkin IE. Efficiency of manual resuscitators at birth. Arch Dis Child 1986; 61:300.
  19. Milner AD. Resuscitation at birth. Eur J Pediatr 1998; 157:524.
  20. Davidovic L, LaCovey D, Pitetti RD. Comparison of 1- versus 2-person bag-valve-mask techniques for manikin ventilation of infants and children. Ann Emerg Med 2005; 46:37.