What are the indications for pediatric intubation?
Within the pediatric population, the most common indications for intubation are trauma and primary respiratory failure. Examples include cardiac arrest, traumatic brain injury, and status epilepticus.
Which of the following are indications for intubation?
Patients who require intubation have at least one of the following five indications:
- Inability to maintain airway patency.
- Inability to protect the airway against aspiration.
- Failure to ventilate.
- Failure to oxygenate.
- Anticipation of a deteriorating course that will eventually lead to respiratory failure.
When should you intubate a newborn?
Indications for intubation. If the infant’s heart rate does not rise above 60 beats per minute with chest compressions and effective positive pressure ventilation in 100% oxygen, then advanced resuscitation interventions (including drug administration) are now indicated.
Why would you intubate a newborn?
Endotracheal intubation, a common procedure in newborn care, is associated with pain and cardiorespiratory instability. The use of premedication reduces the adverse physiological responses of bradycardia, systemic hypertension, intracranial hypertension and hypoxia.
What is the best choice for pediatric intubation?
Etomidate has become the drug of choice for most pediatric intubations in the ED because of its rapid onset of action (5 to 15 seconds), short duration of sedation (5 to 14 minutes), and minimal cardiovascular side effects.
How do you intubate a toddler?
place a rolled towel on either side of the head. have an assistant steady the head for you. hold the head steady with your own right hand while placing your blade. Once you see the larynx let g, lift your ETT, then intubate.
What are the indications for mechanical ventilation?
There are four indications for intubation and mechanical ventilation:
- Acute or acute-on-chronic hypercapnia.
- Oxygenation failure with refractory hypoxemia.
- Inability to protect the lower airway.
- Upper airway obstruction.
What would be indications for endotracheal intubation for this patient pals?
Endotracheal (ET) intubation is used when the airway cannot be maintained, when bag-mask ventilation is inadequate or ineffective, or when a definitive airway is necessary.
How do you intubate a neonate?
3 Intubate – Position self at patient’s head, hold scope in left hand, open mouth with fingers (not blade), insert blade into right side of mouth, move blade to center of mouth pushing tongue to the left side, slowly advance blade and lift epiglottis till larynx is visualized.
What are the complications of endotracheal intubation in infants?
Lung atelectasis occurred in 7.8%, airleak in 6.8%, and infection in 2.3% of patients. Other complications included tissue damage (3.4%), endobronchial intubation (2.4%), postintubation stridor (2.4%), bronchopulmonary dysplasia (2.3%), and endobronchial tube blockage (0.8%).
Why is succinylcholine contraindicated in pediatrics?
Succinylcholine is absolutely contraindicated in children with underlying muscular dystrophy because it interacts with the unstable muscle membranes leading to severe, prolonged rhabdomyolysis and life-threatening hyperkalemia.
Which of the following antibiotics may be administered to neonates?
The antibiotics commonly used to treat neonatal sepsis include ampicillin, gentamicin, cefotaxime, vancomycin, erythromycin, and piperacillin.