Pediatric INHALATION induction Flashcards
The optimal induction sequence in toddlers is to avoid
making them feel vulnerable
Should be within easy reach during such an induction, to allow control of the bag, pop-off valve, and vaporizer without interruption
The anesthesia machine
Pediatric Induction: the anesthetist should apply a
Precordial stethoscope/earpiece to monitor breath/heart
sounds.
Mask induction of anesthesia is accomplished by placing the mask lightly on the child’s face and administering a mixture of
N2O in O2 (7 : 3) for 1 or 2 minutes until the full effect of N2O is achieved
Sevoflurane is then introduced and can be rapidly
increased to 8% in a single stepwise increase
Watch with increased sevo concentration
Bradycardia or hypotension in otherwise healthy children.
After anesthesia is induced, the sevoflurane concentration should be maintained at the maximum tolerable concentration until
intravenous access is established. but this concentration should be reduced if controlled ventilation is initiated to avoid overdose.
Administer pre-determined dosages of.
anticholinergic, hypnotic, and muscle relaxant (if desired)
Consider _________ devices
active warming(Bair Hugger
Assist ventilation, or mask ventilate Utilizing your assistant, establish intravenous access.After IV, reduce Sevo to maintain appropriate MAC then
Until ready for intubation.
N2O off, 100% O2. Tape patient’s eyes