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Pediatric Airway Management
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Airway anatomy differences
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Airway anatomy differences
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Equipment choosing BROSELOW TAPE
Endotracheal tubes, alternative airways, airway adjuncts, laryngoscope blades will all be size and age dependent Best decision making is via the BROSELOW TAPE
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Equipment choosing Other methods for choosing ET tubes age + 4 4
Uncuffed tubes (in mm): age + 4 4 Cuffed tubes: Uncuffed size
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Equipment choosing 5.0 4.0 5.5 SO, as an example:
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!!
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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
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Equipment choosing Laryngoscope blades Stylets
Straight blades for all but the larger children Stylets Discouraged Colorimetric ETCO2 detectors Two sizes: <15 kg (infants & toddlers only) Everybody else
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Pediatric airway MOST PEDIATRIC AIRWAYS IN AN EMERGENCY SETTING
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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