Pediatric Airway Flashcards Preview

ABeach Peds PICU topics > Pediatric Airway > Flashcards

Flashcards in Pediatric Airway Deck (36):
1

lung volume of pediatric patients

250mL when adults are 6000

2

what is functional residual capacity

residual volume plus expiratory reserve volume. when outward pull of the chest equals the inward collapse of the lungs

3

sniffing position set up for child less than 2 years old

put the towel under the shoulders

4

pros and cons of high flow nasal cannula

can deliver 50-90% O2 however unpredictable PEEP

5

how many liters of O2 can a simple mask deliver

6-10

6

pros of non re breathing mask

10-15 liters, can deliver 95%

7

what is CPAP

noninvasive Positive pressure ventilation

8

pros of CPAP

prevents alveolar atelectasis, enhance and maintain FRC, reopens collapsed alveoli to improve oxygenation and ventilation

9

BIPAP works how

delivers both expiratory and inspiratory positive airway pressure
will prevent alveolar atelectasis, enhances and maintains FRC

10

what patients is BIPAP helpful in

intermitten apnea

11

IPAP and EPAP pressures

IPAP 8-10
EPAP 4-6

12

which bag mask does not allow for easy peep or able to deliver blow by

self inflating

13

indications to intubate

hypoxia, hypercarbia, increased WOB, neuromuscular weakness, CNS failure, cardiovascular failure

14

what Rx groups do you need to prepare for intubation

sedative/hypnotic
analgesic
muscle relaxant
lidocaine
atropine
epinephrine

15

how to select ET tube size

Age/4 +4

16

how to determine how deep ET tube should go

3x the diameter ET tube

17

ET size and depth for neonate <28 weeks

2.5 mm and 7 cm depth

18

ET size and depth for 28-34 weeks

3 mm and 8 cm depth

19

ET size and depth for 35-38 weeks

3.5 mm and 9 cm depth

20

ET size and depth for neonate till age 1

3.5-4 mm and 9-11 cm depth

21

ET size and depth for 1-2 yo

4-4.5 mm and 11-14 cm depth

22

ET size and depth for 2-4 yo

4.5-5 mm and 12-15 cm depth

23

ET size and depth for 4-6 yo

5-5.5 mm and 14-17 cm depth

24

ET size and depth for 6-8 yo

5.5-6 mm and 15-18 cm depth

25

ET size and depth for 8-10 yo

6-6.5 mm and 17-20 cm

26

ET size and depth for 10-12 yo

6.5-7 mm and 19-21 cm

27

ET size and depth for >12 yo

7-7.5 mm and 21-24 cm

28

pneumonic for deterioration after intubation

Displacement
Obstructed tube
Pneumothorax
Equipment Failure

29

What analgesic is used for intubation in children and dosage

Fentanyl, 1-3 mcg/kg

30

what anesthetics are used for intubation in children

ketamine, etomidate, thiopental, propofol

31

avoid ketamine for intubation anesthetic when

increased ICP

32

which anesthetic do you avoid for children in sepsis

etomidate

33

which anesthetics cause decrease in SVR and CO

thiopental and propofol

34

what sedative is used for intubation in children

versed

35

side effects of versed

decreased SVR and CO

36

What paralytics are used in intubation of children

vecuronium, rocuronium and succinylcholine