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Pediatric Airway Management

Pediatric Airway Management. Airway anatomy differences. Airway anatomy differences. 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. Equipment choosing.

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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

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