Assessment and Management of Pediatric Trauma
Module 2: Pediatric Airway and Breathing
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RSI - Technique

  • Pre-determined doses of anesthesia and neuromuscular blocking drugs are administered in succession
  • Cricoid pressure is applied when drugs are administered and pressure is increased as unconsciousness is induced
  • The facemask is held over the patent airway, but no bag mask ventilation is performed
  • Neuromuscular blockade is present after fasciculations have passed (suxamethonium) or after 45-60 seconds have passed (rocuronium)
  • Laryngoscopy is performed and the vocal cords are visualised
  • Confirmation of correct placement of endotracheal tube in the trachea should be performed using end tidal CO2 detection devices
  • Confirmation of correct depth of ETT insertion should be confirmed by chest auscultation and the formula (age/2) + 12cm
Module 2: Pediatric Airway and Breathing