#8 Essential Emergency Airway Care- Paediatric Considerations- Anatomic, physiological, dosing, and...
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Anatomy and physiology Quick to Desaturate Large head: – Place roll under shoulders for level ear-to- sternal notch Large tongue: – Jaw thrust, difficulty clearing tongue with blade Long flexible epiglottis: – Directly lift the epiglottis with the tip of blade Cricothyoid cartilage is smallest diameter: – Foreign body obstruction occurs below the larynx Soft tracheal cartilage – Positive pressure ventilation can open airway, cricoid pressure in contraindicated. Small airways – Can quickly swell closed – Dramatic changes with oedema Short Trachea – Blade is frequently advanced to far – Frequent mainstem intubation 3
Transcript of #8 Essential Emergency Airway Care- Paediatric Considerations- Anatomic, physiological, dosing, and...
#8 Essential Emergency Airway Care- Paediatric Considerations- Anatomic, physiological, dosing, and equipment issues 1 Andrew Brainard, MD, MPH, FACEM, FACEP # 8 RSI of paediatric pt Learning Objectives: Prep team/plan/room/equipment Mask seal, BVM, adjuncts, suction Pre and apnoeic oxygenation Pt positioning Airway assessment and plan MOANS/LEMON Announce pullout criteria Briefing for Plan A, B, C, & D Use Paed Drug Calculator Correctly Sizes equipment Correct RSI drugs and dosage Completes FINAL airway checklist Call and response
