airway - UTHSCSAPediatricResidentCurriculumforthePICU...

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Introduction to the PICU and Airway Management UTHSCSA Pediatric Resident Curriculum for the PICU
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The Purpose of Intensive Care Units exist to monitor patients for acute deterioration Units are staffed by personnel trained to react to deterioration with advanced skills Success in management favors the prepared mind
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Keys to Success Perform the same approach on every patient each day Collect information (exam, notes, labs) construct a coherent picture, develop an assessment and formulate a plan Present in a consistent manner Predict what problems may develop
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Airway Management The ability to recognize impending respiratory failure and stabilize an airway is one of the cornerstones of ICU management Knowledge of the pediatric airway and proficiency in its stabilization and intubation is essential
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Laryngeal Cartilages
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Laryngeal Anatomy (Infant)
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Laryngeal Anatomy Sensory innervation occurs from the internal branch of the superior and recurrent laryngeal nerve, motor innervation is from the recurrent laryngeal nerve Blood supply is provided by the superior and inferior thyroid arteries
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Four Differences between the Adult and Pediatric Airway Infant tongue is proportionally large The infants larynx is higher (rostral) in the neck (C3-4) than an adults (C4-5) The infants epiglottis is omega shaped ( ) and angled away from the trachea The narrowest part of the larynx is the cricoid cartilage below the vocal cords
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Larynx Configuration Adult (cylinder) Pediatric (funnel)
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Airway Diameter and Resistance
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Obstructed Inspiration/Expiration Stridor Wheezing
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Work of Breathing Product of Compliance and Resistance Nasal passages account for 25% of airflow
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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airway - UTHSCSAPediatricResidentCurriculumforthePICU...

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