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Airway Management Issues - Dr. Cordle

3/20/2014

0 Comments

 
Picture
Kids are Different

- Larger heads, tongues, smaller nostrils
- Cricoid ring determines size of ET tube
- Bradycardia is a BAD SIGN.

Signs of Increased Respiratory Effort

- Assumed position
- Bobbing head
- If kids are pulling off their mask, they might need to be intubated.

Positioning

- sniffing position, sometimes achieved without any padding
- jaw thrust is preferred to chin tilt
- always use an oral airway, measure from angle of mouth to angle of jaw

DOPE for ETT problems


- Check ETCO2 waveform

- Dislodged
- Occluded
- PTX
- Equipment

Pitfalls

Not recognizing compromise early
!

Not thinking to clean out the nose
!

Not thinking in terms of axis alignment
!


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  • Prospective Applicants
    • 2020 MATCH
    • About CMC
    • Our Curriculum
    • Our Residents
    • Our Fellowships
    • Program Leadership
    • Explore Charlotte
    • Official Site
  • ROTATING STUDENTS
    • Prospective Visiting Students
    • UNC Students
    • Healthcare Disparities Externship
    • Current Students
  • Current Residents
    • Airway Lecture!
    • PGY - 1
    • PGY - 2
    • PGY - 3
    • Simulation Reading
    • Blogs >
      • EM GuideWire
      • CMC ECG Masters
      • Core Concepts
      • #FOAMed
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
    • Board Review
    • Journal Club
    • Resident Wellness
    • Resident Research
  • Top 20
  • Chiefs Corner
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Individualized Interactive Instruction
    • Evaluations/Interview Season
    • Contact Info
    • Resume Builder