Re: peds intubation-- where did I go wrong???

[Akgrn@aol.com]

One thing to always keep in mind - little ones can be bag valve masked if the 
tube is difficult or several people have tried and you are worried about 
airway sweling - just keep the stomach from getting distended ( a feeding 
tube as an airvent works fine). I am afraid that sometimes we forget the 
basics will work and advanced techniques aren't always in the best interest 
of the child.  I did neonatal transports - the smallest of the small airways 
and frequently several intubation attempts had caused a "bit" of trauma or 
swelling so we had to bag these kids for quite a while - monitor the Ox sats 
and end tidal CO2 while decompressing their stomachs and they do very well.  
Peds can often be difficult and my best advice for getting better is going to 
OR with an anesthesia person that does kids alot to watch their technique and 
practice if they will allow.  Good luck

Angie Golden

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