Week 4 "scary" airway Flashcards
ELM= external Laryngeal Manipulation→ BURP
Backwards Upwards Rightwards pressure for better glottic visual
Needle cricothyrotomy=
surgical airway inserting a 14-gauge needle into the trachea at the crico-thyroid membrane
Easier but less airway
Open Cricothyrotomy=
surgical airway that places a ETT or trach tube directly into the trachea through an incision at the crico-thyroid membrane
Harder but effective airway (50% have complications)
Tracheal stenosis
narrowing of trachea from injury/ scarring often caused by Cricothyrotomy
How to estimate PEDI ET tube size:
Uncuffed ET: (Age /4) + 4 OR (Age + 16) /4
Cuffed ET = (Age /4) + 3.5
How to estimate childs weight:
(Age + 4) x 2 = Approximate weight in kg (Old Way)
(Age x 3) + 7 = Approximate weight in kg (New Way
Cricothyrotomy Indications:
Contraindications
Inability to establish an airway by any other method!!!
None if the procedure is indicated
Needle Cricothyrotomy Potential Complications:
Barotrauma, Pneumothorax, Hypercarbia
Tidal volume in kids=
5-7mL/Kg
With kids ETT have tube sizes:
size you want, a size larger, & smaller
WHALE emblem on kid seat=
We Have A Little Emergency
Bottom of sticker with ALL of kids info
Epiglottis shape in adult=
Epiglottis shape in kids=
Domed & firm
flimsy & floppy “wet donut w/ a bite”
location of lungs in kids=
armpit to armpit for auscultation
Diaphragms in kids location &–>
straight across & sometimes “belly breath” to put more neg/ pressure on diaphragm
kids if to fight bronchoconstriction with intubation use which ETT
cuffed ETT to create resistance against constriction
Narrowest part of kid’s airway
Cricoid
Pedi ETT location
2-3 cm below cords when intubating