Intraoperative Flashcards
(18 cards)
Consent is obtained by the parents, what is obtained by the pediatric patient?
Assent
What is the first monitor placed on the pediatric patient?
Pulse O2
Anesthesia stage 1
Awake, eyes midline
Irregular pulse
BP Normal
(Induction)
Anesthesia stage 2
Hyper-excitable Eyes divergent Pulse irregular and fast high BP (Excitement) Highest risk for laryngospasm
Anesthesia Stage 3
Asleep Eyes-midline Pulse steady and slow BP normal (Operative)
Anesthesia Stage 4
CV reflexes are anesthetized Hypotensive Bradycardic Eyes midline Weak and thready pulse (Danger)
IV induction is advantageous because…
Asleep without going through stage 2
Low risk of laryngospasm
What is the narrowest portion of the pediatric airway?
Cricoid cartilage (below vocal cords)
T/F: The epiglottis is shorter and wider in the pediatric patient than in the adult patient.
False
The pediatric patient’s epiglottis is LONGER and NARROWER
T/F: The pediatric patient’s larynx is proportionally smaller than the adult’s.
True
T/F: The head and occiput are proportionally smaller than the Adult’s.
False. (They are proportionally larger)
T/F: The pediatric patient’s tongue is proportionally smaller than the adult’s tongue.
False. (It is proportionally larger)
T/F: The peds neck is shorter than the adults
True (much shorter)
The peds larynx is more _____ and _____ than the adult’s larynx.
Anterior, cephalad
The adenoids are larger or smaller than the adult’s?
Larger
T/F: There is a decreased risk of mainstem intubation in the ped patient than the adult patient due to a short trachea and bronchus.
False
Increased risk due to a short trachea and bronchus
T/F stimulate the child to awaken from anesthesia.
False (DO NOT stimulate child until awake)
What is the Succinylcholine IM/IV dose for a pediatric patient?
IM: 4mg/kg
IV: 0.4mg/kg
