Em DOCs.net – Emergency Medicine Education Pediatric Difficult Airway - em DOCs.net - Emergency Medicine Education PDF

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Difficult Airway Management for the pediatric patient....

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Pediatric Difficult Airway ! SEP 7TH, 2018

" SEAN M. FOX

# CATEGORIES: PEDS EM MORSELS

Originally published at Pediatric EM Morsels (https://pedemmorsels.com/pediatric-difficult-airway/)on June 23, 2017, updated on July 23, 2017. Reposted with permission. Follow Dr. Sean M. Fox on twitter @PedEMMorsels (https://twitter.com/pedemmorsels)

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ALGORITHM OF THE MONTH Pediatric Status Asthmaticus (https://ddxof.com/pediatricstatus-asthmaticus/).

Respiratory illness (https://pedemmorsels.com/mechanical-ventilation-severe-asthma/), sepsis (https://pedemmorsels.com/capillary-refill-shock/), and trauma (https://pedemmorsels.com/traumatic-pneumothorax/) are three important entities afflicting children that may lead to needing to manage a child’s airway. Airway management in the ED is a complex interplay of patient factors, clinical illness status, and provider factors that, through our thorough training we become proficient at navigating. We have discussed many airway concepts previously (ex, ETT Depth (https://pedemmorsels.com/ett/), Cuffed ETTs (https://pedemmorsels.com/cuffed-endotracheal-tubes-in-children/), Apneic Oxygenation (https://pedemmorsels.com/avoid-oxygen-desats/), Delayed Sequence Intubation (https://pedemmorsels.com/delayed-sequence-intubation/), Noninvasive Ventilation (https://pedemmorsels.com/noninvasiveventilation/), Heliox (https://pedemmorsels.com/heliox-part-of-the-kitchen-sick/), and Transtracheal Ventilation (https://pedemmorsels.com/transtracheal-ventilation-needle-or-knife/)) but one topic that deserves specific attention is the notion of a Difficult Airway:

Difficult Airway: Basics

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Defining “Difficult Airway” is challenging, so studies are not strictly comparable (we all know it after we have dealt with it though). Some separate “Difficult Airway” from “Difficult Intubation.” [Belanger, 2015] Difficult Airway – unable to provide adequate gas exchange despite BVM, airway adjuncts, or combination of the two. Difficult Intubation – 3 or more attempts by an experienced clinician The incidence of difficult intubations in children vary from...