Flashcards in Pediatric Anesthesia Deck (62)
first 24 hours
Neonate is what or what?
first 30 days or 44 weeks of age from conception
1 month to a year
School age is?
Prematurity is less than how many weeks gestation?
Postgestational age is?
gestational age plus postnatal age
3 major concerns with premature babies?
pulmonary, cardiac, retinopathy
Obligate nasal breathers until what age?
What is choanal atresia?
narrowing or blockage of the nasal passages by tissue
The larynx is _______, ________. and at what level in full term?
anterior, cephalad, C4
Larynx is at what level in preterm, age 6, and an adult?
C3; C5; C5-6
3 characteristics of peds epiglottis?
omega shaped, stubby, short
ETT is likely to hang up where in a kid?
Cricoid is the narrowest point at what age?
In neonates, how many cm are from the cords to the carina?
Which muscle cells are poorly developed at birth, leaving the diaphragm to do most of the gas exchange?
Alveoli are smaller and limited in number until what age?
Which one is increased and which decreased, lung compliance and chest wall compliance?
lung compliance is decreased and chest wall compliance is increased
Why is it that infants have a limited reserve with apnea and intubation attempts?
decreased RV affects the FRC
An infant's metabolic rate and O2 consumption is how many times that of an adult?
MV:FRC ratio in neonates?
What 2 things produce less reserve in a neonate?
higher minute ventilation and decreased RV
How can you prevent atelectasis in neonate?
CPAP, PEEP, higher RR
How do TVs in infants and adults compare?
they're about the same on a mL/kg basis
How does FRC compare in neonates and adults?
about the same percentage
How do closing volumes compare in neonate and adult?
closing volumes are higher in neonate
Why do you have to be extremely vigilant about monitoring respirations after surgery in peds?
hypoxic and hypercapnic drives are not mature