Intraoperative Flashcards
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
