DAW - Peds

Question 1

tongue

Answer 1

large in proportion to the rest of the oral cavity - OPA

Question 2

nasal passages

Answer 2

narrow

Question 3

salivary secretions

Answer 3

LOTS

Question 4

T&A

Answer 4

large

Question 5

larynx

Answer 5

more cephalad until 2 yo.
more anterior w/more acute angle
C3, C4

Question 6

epiglottis

Answer 6

omega-shaped, angled away for the axis of the trachea. more challenging to lift!

Question 7

vocal cords

Answer 7

more caudad attachment anteriorly than posteriorly

tip of the ETT may get held up at the anterior portion of the folds

Question 8

trachea length

Answer 8

peds - 4 - 5 cm

adults - 10 - 12 cm

Question 9

where is the most narrow portion of a child’s larynx

Answer 9

cricoid cartilage until age 8

adult - glottic opening

Question 10

prediciting DAW

Answer 10

<0.1% to 3.5%

highest in infant age group, craniofacial anomalies. and CHDs

Question 11

which syndromes do not improve w/age

Answer 11

goldenhar
mucopolysaccharidoses (also difficult mask)

Question 12

syndromes w/DAW (11)

Answer 12

Goldenhar 
Pierre Robin 
Treacher Collins 
Apert
Trisomy 21 
Juvenile arthritis 
Cleft palate 
Trauma/Burn
Oral tumors 
Kippel-Feil 
Mucopolysacc.

Question 13

smallest miller size

Answer 13

00

Question 14

smallest mac size

Answer 14

1

Question 15

smallest glidescope

Answer 15

0

Question 16

smallest mcggrath

Answer 16

1

Question 17

c-mac

Answer 17

0 for miller & mac

Question 18

an important consideration for DVL

Answer 18

size of patient’s mandible > age / weight

Question 19

micrognathic DVL

Answer 19

use straight blade

Question 20

FOI thru LMA

Answer 20

wait until ventilation has been established

Question 21

videolaryngoscope insertion

Answer 21

midline