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Pediatric Airway Management

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Pediatric Airway Management

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  1. Pediatric Airway Management

  2. Airway anatomy differences

  3. Airway anatomy differences

  4. Equipment choosing • Endotracheal tubes, alternative airways, airway adjuncts, laryngoscope blades will all be size and age dependent • Best decision making is via the BROSELOW TAPE

  5. Equipment choosing • Other methods for choosing ET tubes Uncuffed tubes (in mm): age + 4 4 Cuffed tubes: Uncuffed size - 0.5

  6. Equipment choosing SO, as an example: 5.0 Uncuffed tube for a 4 year old 4.0 Cuffed tube for a 2 year old 5.5 Uncuffed tube for a 6 year old Newborn baby: 3.5, 3.0 if small or premie (or even smaller!) Always grab one half size up and one half size down when choosing pediatric ET tubes!!

  7. Equipment choosing • NG tubes & Suction catheters RULE OF THUMB • Depth of insertion RULE OF THUMB 2 x uncuffed tube size 3 x uncuffed tube size

  8. Equipment choosing • Laryngoscope blades • Straight blades for all but the larger children • Stylets • Discouraged • Colorimetric ETCO2 detectors • Two sizes: • <15 kg (infants & toddlers only) • Everybody else

  9. Pediatric airway • LMAs can work well • Always remember: MOST PEDIATRIC AIRWAYS IN AN EMERGENCY SETTING CAN BE HANDLED BEST WITH THE BASIC MANUEVERS