Peds Airway Flashcards
What differs in airway anatomy bet Adults and PEds?
1) Located high in the neck
2) Epig behind soft palate
3) Funnel shaped
4) Narrowest comp is cricoid
What is the purpose of anatomical differences in peds?
Allows infants to suckle continuously without holding breath =>
Obligate nose breathers
What is the critial narrowest part of adult airway?
Nose
You have a patient with an insp/exp sound that is biphasic, high pitched and harsh. What is it called?
Stridor
What aspect of the airway changes the air resistance the most?
Radius changes
What are the traits of an obstruction of the nasal cavity?
Life Threatening @ birth
Easy Dx
-Nasal cannulla passed @birth
-Relief w/ cry
List the types of congenital NAsal obstruction?
Choanal atresia
Nasal pyriforn aperture stenosis
nasal lacrimal duct cysts
Neoplastic: Encephalocele (neuroectoderm), Dermoid, Glioma
What are the traits of Choanal atresia?
Female > Male
Bony or membranous
Persistance of Bucopharyngeal membrane
What are the traits of Pyriform Stenosis?
form of Holoprosencephaly
Associated w/ central megaincisor
What are the traits of Rhinitis of infancy?
MOST COMMON
Persistent nasal congestion in first 6 mon w/ no etiology
Self resolving
What are the imaging options for the nasal passage?
Nasal endocopy and X-ray
List Causes of Oropharynx and Hypopharynx obstruction caused by tongue?
Macroglossia
Lingual Thyroid
Vallecular Cysts
Craniofacial anomaly
What are Causes of Oropharynx and Hypopharynx obstruction NOT caused by tongue?
Adenotonsillar Hypertrophy**
Pharyngeal wall infections
Neoplasms
Vascualr Malformation
What are the Traits of Retropharyngeal Abcesses?
Swelling behind Trachea caused by air causing bacteria => obstruction
Rapid progression
List the causes of Supraglottic Obstruction?
Laryngomalacia Laryngocele Epiglottis Foreign Body: latex baloon Neoplastic: Hemangioma, Vasc malf, Papilloma