Pediatric Airway Flashcards
lung volume of pediatric patients
250mL when adults are 6000
what is functional residual capacity
residual volume plus expiratory reserve volume. when outward pull of the chest equals the inward collapse of the lungs
sniffing position set up for child less than 2 years old
put the towel under the shoulders
pros and cons of high flow nasal cannula
can deliver 50-90% O2 however unpredictable PEEP
how many liters of O2 can a simple mask deliver
6-10
pros of non re breathing mask
10-15 liters, can deliver 95%
what is CPAP
noninvasive Positive pressure ventilation
pros of CPAP
prevents alveolar atelectasis, enhance and maintain FRC, reopens collapsed alveoli to improve oxygenation and ventilation
BIPAP works how
delivers both expiratory and inspiratory positive airway pressure
will prevent alveolar atelectasis, enhances and maintains FRC
what patients is BIPAP helpful in
intermitten apnea
IPAP and EPAP pressures
IPAP 8-10
EPAP 4-6
which bag mask does not allow for easy peep or able to deliver blow by
self inflating
indications to intubate
hypoxia, hypercarbia, increased WOB, neuromuscular weakness, CNS failure, cardiovascular failure
what Rx groups do you need to prepare for intubation
sedative/hypnotic analgesic muscle relaxant lidocaine atropine epinephrine
how to select ET tube size
Age/4 +4
how to determine how deep ET tube should go
3x the diameter ET tube
ET size and depth for neonate <28 weeks
2.5 mm and 7 cm depth
ET size and depth for 28-34 weeks
3 mm and 8 cm depth
ET size and depth for 35-38 weeks
3.5 mm and 9 cm depth
ET size and depth for neonate till age 1
3.5-4 mm and 9-11 cm depth
ET size and depth for 1-2 yo
4-4.5 mm and 11-14 cm depth
ET size and depth for 2-4 yo
4.5-5 mm and 12-15 cm depth
ET size and depth for 4-6 yo
5-5.5 mm and 14-17 cm depth
ET size and depth for 6-8 yo
5.5-6 mm and 15-18 cm depth
