Quiz 2 Flashcards
Pain management for non emergent intubations
Ideally use a predetermined pharmacological approach
Intubation indications
Prolonged PPV- respiratory failure
Surfactant administration
Airway patency during procedures requiring moderate/deep sedation
Intubation contraindications
There are no absolute contraindications
Proper ETT placement technique
ETT in R hand
Laryngoscope in L hand
Infant in sniffing position with head midline
Advance tube down right side of mouth, outside of the blade to maintain glottic visualization
What is the proper ETT depth of a 2.5kg infant?
8.5cm
What is the final confirmation of ETT placement?
CXR, tube 1cm above the carina
Indications for use of an LMA
When attempts at intubation are not effective or feasible
Infants with craniofacial abnormalities
LMA contraindications
Infant < 2kg
LP contraindications
Increased ICP
Bleeding/thrombocytopenia
Lumbar anomalies
Local infection
How to minimize airway compromise during an LP
Hold infant at shoulders and knees or butt
Optimal insertion site for LP on preterm infants
L4-L5
Indications for a thoracostomy tube
Tension pneumothorax
Significant pleural effusion
Post-surgical drainage
Thoracentesis contraindication
Fluid or air not causing hemodynamic or respiratory changes
Thoracentesis site for fluid removal
4th-5th ICS, midaxillary
IO placement site
Anteriomedial surface of tibia, 1-2cm below tibial tuberosity
Pericardiocentesis insertion technique
30-40 degree angle, tip toward L shoulder
What foreign substances need to be evacuated from the pleural cavity?
Empyemea
Chylothorax
Extravasation from central venous line
Indications for LP
Diagnosis of CSF infection/meningitis
Diagnosis of metabolic conditions
CSF removal
What is the preferred drug for RSI in preterm infants?
Fentanyl (midazolam is contraindicated)
