Recognizing and Managing the Difficult Pediatric Airway: Difference between revisions

Recognizing and Managing the Difficult Pediatric Airway (view source)

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 * They have large, omega-shaped epiglottis. Sometimes, it is necessary to pinch epiglottis during laryngoscopy to visualize vocal cords;
 * They have high oxygen consumption and low functional residual capacity, causing faster desaturation during apnea periods;
-* They are susceptible to gastric distension during face-mask ventilation. As the stomach increases its volume, the diaphragm is cephalically displaced, hampering face-mask ventilation. As harder it is tried to ventilate in this situation, more air is forced into the stomach and it becomes even harder to ventilate, creating a vicious cycle. When a previously easy face-mask ventilation becomes hard after a long period of ventilation, ALWAYS remember of gastric distention. Place an orogastric tube to empty the stomach!
+* They are susceptible to gastric distension during face-mask ventilation. As the stomach increases its volume, the diaphragm is cephalically displaced, hampering face-mask ventilation. The harder it is tried to ventilate in this situation, more air is forced into the stomach and it becomes even harder to ventilate afterall, creating a vicious cycle. When a previously easy face-mask ventilation becomes hard after a long period of ventilation, ALWAYS remember of gastric distention. Place an orogastric tube to empty the stomach!