Periop Considerations Flashcards
What is the formula for uncuffed tube?
(Age + 16)/4
What oxygen delivery setup should be used to provide PEEP/ Ventilation to patients on transport?
Mapleson D
At what age should versed be considered preoperatively for peds?
1 yr and old (d/t memory formation)
What is the most effective method to reducing fear and anxiety for pediatric patients?
PO Versed AND parental presence
What increases risk of subglottic stenosis?
- Long ETT time
2. Multiple intubations
Recent cough, cold, fever, pneumonia is contraindication for surgery within how many weeks of surgery?
Within 6 weeks
T/F: Consent from a parent/legal guardian is all you need prior to anesthesia?
False; Assent from child/adolescent
What are examples of pre-medications for peds?
- Midazolam
- Fentanyl/Morphine
- Ketamine
- Clonidine/Precedex
First monitor for peds prior to anesthesia?
Pulse Ox, then EKG, BP
Why is IV induction advantageous if possible?
Asleep without going through Stage 2 (risk of laryngospasm very low).
What is good N/V prophylaxis for peds?
Decadron, Zofran, 10-20cc/kg fluid bolus
What are the two biggest reasons for difficult/slow emergence with peds?
- Low temperature
2. Low blood glucose
What is dose of succinylcholine IM/IV?
IM 4mg/kg
IV 0.4mg/kg
Why can an LMA not break a laryngospasm?
Cannot reach a positive pressure of greater than 30 mmHg (30-40 required)
What’s are dosing considerations for peds postop?
Half dose if fatigued.
Half dose with OSA Hx
