PE22-Intubating the critically unwell child

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Age under 1 year is a risk factor for difficult tracheal Intubation

True

False

Which of the following are true about video laryngoscopy in infants?

A hyperangulated blade normally leads to easier tube delivery than a Macintosh blade

If the camera becomes contaminated with secretions, you can use the video laryngoscope for direct laryngoscopy and expect a high success rate

A miller blade should always be used to lift the epiglottis directly

A stylet should only be used if the view is difficult

A hyperangulated video laryngoscope tends to give a better view in an extremely difficult airway than a video laryngoscope with a Macintosh blade

Select all that apply.

Tips to avoid inserting the endotracheal into the right main bronchus include:

Using a tube with accurate depth markers

Taking care to line the depth markers up with the cords when passing the tube

Going back to have a second look to check you haven’t inserted the tube too far

Double checking the tube is still at the same position at the lips that you were happy with before taping

Using a bougie

Select all that apply.

Potential sources of dead space when ventilating an infant include:

Using a ventilator not compatible with infants

Using the wrong ventilator circuit

Using the wrong filter size

Adding an angle piece into the circuit

Adding a catheter mount into the circuit

Select all that apply.

Which of the following are true when intubating the critically ill infant?

Thiopentone is the induction agent of choice in most circumstances

A cuffed endotracheal tube should be used where possible

The endotracheal tube should be routinely suctioned following intubation

A bougie should be used routinely to improve first pass success

A nasogastric tube should be inserted and aspirated continuously during face mask ventilation

Select all that apply.

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