- Airway is smaller
- Tongue is larger within oral/pharyngeal cavity
- Vocal cords have a lower attachment
- <10yrs Larynx is funnel shapped and Airway is narrowest below vocal cords
- Intubation:
- Below 8 Don't Inflate. The anatomy acts like a cuff so that when intubating you may not need a cuff especially in kids less than 8 years old.
- Endotracheal size formula: (Age(yr)/4) + 4 for example age is 7 years old then (7/4) +4=7
- Premie use 2.5, Term 3.0, 6mn 3.5, 1 year 4.0
- Laryngoscope Blade size: (straight blades for infants/toddlers)
- 1 yr=1.5
- 6mn =1.0
- Term = 0-1
- Premie = 0
- Age 2-10 yr = 2
- Age 10 yr = 3
- If no trama then NG tube placed to prevent gastric distention.
- Assessment for problems: DOPE - Displacement, Obstruction, Pneumothorax, Equipment Failure.
- >10 yrs Larynx is cylinder shapped and Airway is narrowest at glottic inlet
Monday, July 18, 2011
Basic difference between adult and kids + intubation
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