![]() ![]() The website has invaluable information regarding CICO packs and an instructional video of paediatric front of neck access. Vortex approach is an approach where there are set triggers meaning you move further down the vortex mental model to prepare for front of neck access. IF YOU PREDICT A DIFFICULT AIRWAY, VERBALISE THAT TO THE TEAM AND HAVE THE DIFFICULT AIRWAY TROLLEY WITH YOU AND THE AIRWAY NURSE TO BE CLEAR ABOUT WHAT YOU WILL NEED!ĭifficult airways will be covered in more detail later – however signposting the Vortex website to learners now is helpful. Although this is written for adults, the same is true of paediatrics. This is an example of an airway plan from Life In the Fast Lane.Īt each plan everyone is aware of the expected outcome and the triggers for moving on to each section. So, you have everything ready and the team leader asks you for your airway plan, “what is an airway plan?” you ask….Īs the airway doctor you should have an airway plan which is verbalised to the entire team so everyone is aware of the expected sequence of events. ![]() In the <12 month old the NGT can be inserted during the preoxygenation phase of intubation. Prompt decompression of the stomach post intubation via NGT or OGT will reduce this splinting and improve ventilation. Horizontal ribs limit the ability to increase tidal volume and ventilation is predominantly diaphragmatic, any air in the stomach may splint the diaphragm and make ventilation difficult.There is a lower functional reserve capacity and it can cause rapid desaturation during laryngoscopy and intubation despite adequate preoxygenation. Oxygen consumption – this is much greater than in an adult counterpart especially when unwell.The two most important things to consider are: What are the differences in physiology in intubating children? ![]()
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