1 / 22

An Overview of Paediatric Anaesthesia

An Overview of Paediatric Anaesthesia. Dr Anna Englin Paediatric Anaesthetist, MMC. Overview. Equipment/room set up Crises we see in kids. Equipment. A irway B reathing C irculation D rugs E nvironment/ exposure. Anaesthesia checklist. A irway B reathing C irculation D rugs

mordecai-jasper
Télécharger la présentation

An Overview of Paediatric Anaesthesia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. An Overview of Paediatric Anaesthesia Dr Anna Englin Paediatric Anaesthetist, MMC

  2. Overview • Equipment/room set up • Crises we see in kids

  3. Equipment • Airway • Breathing • Circulation • Drugs • Environment/ exposure

  4. Anaesthesia checklist • Airway • Breathing • Circulation • Drugs • Environment/ exposure

  5. Airway • Infants and neonates have anatomical differences cf adults • Different sized equipment

  6. Face masks

  7. Airways • Lift tongue and epiglottis away from upper airway • Different sizes: measure from centre of incisors to angle of jaw • Nasopharyngeal airways

  8. LMA’s • Don’t forget in a difficult intubation! • Less reliable than in adults

  9. Intubation • laryngoscopes

  10. ETT size • ETT size = 4 +age/4 • Cuffed vs uncuffed

  11. Equipment • Airway • Breathing • Circulation • Drugs • Environment/ exposure

  12. Breathing • T piece vs closed circuit • Paediatric breathing circuit

  13. Equipment • Airway • Breathing • Circulation • Drugs • Environment/ exposure

  14. Circulation • ECG sometimes not used, mainly useful to detect bradycardia • Blood pressure lower • Arterial line setup is different

  15. Equipment • Airway • Breathing • Circulation • Drugs • Environment/ exposure

  16. Exposure • Neonates especially prone to hypothermia • Prevention of hypothermia • Operating theatre • Patient covering esp head • Warming blankets/ overhead heaters • Fluid warmers • Monitoring

  17. Paediatric crises

  18. Laryngospasm • Common and can be scary! • Risk factors • Active or recent URTI • Reactive airways • Airway surgery • Stimulation during light anaesthesia

  19. Features

  20. Treatment of laryngospasm • CPAP with 100%O2 • Propofol • Lignocaine: topical or IV 2mg/kg • Sux: 2mg/kg IV or 4mg/kg IM

  21. Bradycardia • Risk factors • Cardiac disease • Hypoxia • Drugs esp sux • CVP insertion • Reflex eg oculo-cardiac reflex • Treatment • Treat cause • Atropine: 20mcg/kg IV or IM • Chest compressions if persistent

  22. The end NB: no children were harmed in the making of this talk

More Related