Recognizing and Managing the Difficult Pediatric Airway: Difference between revisions

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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 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 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. 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!
* 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 harder after a long period of ventilation, ALWAYS remember of gastric distention. Place an orogastric tube to empty the stomach!




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