INSTRUMENTS IN PEDIATRICS
Transcript of INSTRUMENTS IN PEDIATRICS
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PARTS pointed cannula withhub & stillete
SITEL3 & L4 ORL4 & L5
subarachnoid space
POSITIONlateral decubitussitting position
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USES DIAGNOSTIC
Infection- Brain & spinal cordBleeding- subarachnoid , stroke
hemorrhage
Tumors LymphomaAutoimmune disorders - MS
THERAPEUTIC- Intrathecal Injectionmethotrexate- Leukemia
amphotericin Fungal infection
CONTRAINDICATIONS Skin infection at puncture siteRaised ICT, papilloedemaHydrocephalous
Intracranial Spaceoccupying lesions
COMPLICATIONS Local Back painHeadache, InfectionBrainstem herniation
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PARTS Stillete ,Thick bodyNail, Needle with guard
SITE Posterior Iliac CrestSternum
Tibia ( upto 2 yrs)
USES Diagnostic TherapeuticAplatic Anaemia Intraosseous infusionLeukemia, PUO Bone marrow
Megaloblastic anaemia transplantation
Storage disorders- Gauchers,
Nieman picks
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J MSHIDIS BIOPSYNEEDLE
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PARTSSharp pointed needle , notchsleeve
SITE - Ant to Rt mid-axillary linetenth intercostal space
Local anaesthesia
INDICATIONSChronic HepatitisConjugated Hyperbilirubinemia in InfancyInvestigation Portal HT , Wilsons Disease
Metabolic or storage disorders
CONTRAINDICATIONS Increase PT/ PTTPlatelet count < 40000 mm3Hydatid disease of liver, Pyogenic Abscess
COMPLICATIONS- Local pain , Infection, capsularbleeding, subcapsular & intrahepatic
hematoma
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Metal depressors commonly used, Spatula disposable
USES Examine Throat, Oral Cavity, tonsil, palatal movement,
posterior pharynx, Uvula,.. Visualise foreign body if aspirated Open mouth in a unconscious patient , suctioning Test for spasms of masseter in a suspected case of
Tetanus
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OR SELF INFLATING BAG
PARTS Patient outlet
Pressure release valve
set to release at pressure 30-35cm water
One way valve unit
Oxygen inlet
Air inlet( with reservoir FiO2 to be around 90
100%) Bag size ranges from 450ml to 1500ml
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INDICATIONS
Respiratory failure/arrest Neonatal resuscitation
CONTRAINDICATION:Diaphragmatic herniaMeconium Aspiration
SyndromeWhat is EC clamp?
OXYGEN RESERVOIRA reservoir bag
One end connected to air inlet of self inflating bag
Used to increase the FiO2 of the oxygen delivered to patient
from 40 % to 90%
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Handle with 2 batteries Blade with light source Curved ( Macintosh) / Straight (miller) Younger childrenstraight blade is useful Size of the blade- 0,1,2&3
USES For intubation under direct vision Direct laryngoscopy- Vocal Cord Palsy
For detecting foreign body in Larynx
COMPLICATIONMechanical injury
Stimulation of posterior pharyngeal wall vasovagal episode
Hyperextension of neck- damage to cervical spine
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PARTS Plastic tube with blunt tip & opening on lateral
Side close to tip.
Blunt tube prevents damage to structures
while inserting the tube
Marked line - for proper placement
Radio opaque marker
No. 5 to No. 12 commonly used for paediatric
patients
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PROCEDURESize measured
From nose to tragus
+
Tragus to xiphoid
USESDiagnostic use
To detect internal bleeding
in stomach
For performing gastric lavage for AFB
To detect tracheo-esophageal fistula
Poisoning ( for chemical analysis of gastric content)
Gastric analysis
Therapeutic use NG feeds
Administration of drugs
To decompress the stomachas preoperative procedure
Oxygen catheter
For nasal, endotracheal and tracheostomy suction
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Clean the area with antiseptic
SITE- Antero-lateral part of thighDeltoid
Upper & Outer quadrant of Gluteal region
Needle is inserted at 45 or 90 degree
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Mantoux or Tuberculin
skin test
Subcutaneous route
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PARTS Thin plastic sheath Metallic stillete for guiding the vein Metallic sheath is removed once plastic
sheath is placed in the vein
Color coded for sizes Pediatric size ranges from No. 22 to No.24
USESFor infusion of iv fluids, drugs,
blood products
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INHALERS 4 groups
MDI Inhaler with Dry
spacer devices powder Nebuliser
Inhaler
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THANK YOU