18 basics of pediatric airway anatomy, physiology and management
Pediatric Advanced Life Support “UPPER AIRWAY” Presented By: Mike Pyorala, RCP.
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Transcript of Pediatric Advanced Life Support “UPPER AIRWAY” Presented By: Mike Pyorala, RCP.
![Page 1: Pediatric Advanced Life Support “UPPER AIRWAY” Presented By: Mike Pyorala, RCP.](https://reader030.fdocuments.net/reader030/viewer/2022032517/56649c9d5503460f9495bc31/html5/thumbnails/1.jpg)
Pediatric Advanced Life Support
“UPPER AIRWAY”
Presented By: Mike Pyorala, RCP
![Page 2: Pediatric Advanced Life Support “UPPER AIRWAY” Presented By: Mike Pyorala, RCP.](https://reader030.fdocuments.net/reader030/viewer/2022032517/56649c9d5503460f9495bc31/html5/thumbnails/2.jpg)
UPPER AIRWAY The portion of the respiratory tract that extends from the nostrils or mouth through the larynx.
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UPPER AIRWAY
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UPPER AIRWAY
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UPPER AIRWAY
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UPPER AIRWAY
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Airway must be clear and patent for successful ventilation.
Position Clear of foreign body Free from injury
.
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UPPER AIR OBSTRUCTION
UPPER AIRWAY OBSTRUCTION IS A COMMON CAUSE OF PEDIATRIC EMERGENCY DEPARTMENT VISITS, ACCOUNTING FOR APPROXIMATELY 15% OF ALL CRITICALLY ILL PATIENTS
INFECTIOUS ETIOLOGIES ACCOUNT FOR 90% OF THESE, WITH VIRAL CROUP ACCOUNTING FOR 80%
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COMMON PEDIACTRIC UPPER AIR OBSTRUCTIONS
CROUP
EPIGLOTTITIS
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CROUP
CROUP AKA: LARYNGOTRACHEOBRONCHITIS
VIRAL MOST COMMON CAUSE OF UPPER
AIRWAY OBSTRUCTION TRANSMITTED VIA RESPIRATORY
ROUTE. PORT OF ENTRY: NOSE & NASOPHARYNX
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CROUP
FIRST FEW DAYS- MILD URI, NASAL CONGESTION, COUGH, SORE THROAT
EDEMA SPREADS AS INFECTION SPREADS
HOARSE VOICE & HARSH BARK LIKE COUGH DEVELOPS
STRIDOR USUALLY DEVELOPS AT NIGHT
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CROUP
ELEVATED TEMPERATURE
MAY HAVE EXPIRATORY WHEEZING
INSPIRATORY STRIDOR AT REST, NASAL FLARING, RETRACTIONS
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CROUP
TREATMENT: HUMIDIFIED AIR OR OXYGEN STERIODS ALBUTEROL RACEMIC EPINEPHRINE- MAX EFFECT SEEN
IN 30 MIN, REBOUND IN 2 HOURS
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EPIGLOTTITIS
AKA: SUPRAGLOTTITIS OCCURS IN 3-7 YEARS OF AGE BACTERIAL INFECTION- HEMOPHILUS
INFLUENZAE 1985 VACCINE, BUT VIRUS HAS
MUTATED
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EPIGLOTTITIS
EPIGLOTTITIS, VOCAL CORDS, SUPRAGLOTTIC STRUCTURES BECOME INFLAMMED AND EDEMATOUS
NARROWED AIRWAY RESPIRATORY COMPROMISE INSPIRATORY AIR OCCLUSION
NORMALLY OCCURS PRIOR TO TOTAL OCCLUSION
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EPIGLOTTITIS
MAY ALSO BE CAUSED BY: HOT LIQUIDS FOREIGN BODY INGESTION INHALATION INJURIES
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EPIGLOTTITIS
SYMPTOMS: VERY SUUDEN ONSET, RAPID PROGRESSON MUFFLED VOICE OR CRY MINIMAL COUGH FEVER SORE THROAT DROOLING
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REVIEW CROUP
VOICE- HOARSE
COUGH- BARKING
FEVER- YES
SALIVA- MINIMAL
NECK SWELLING-
MINIMAL
EPIGLOTTITIS VOICE- MUFFLED
COUGH- USUALLY NONE
FEVER- YES
SALIVA- LOTS
NECK SWELLING- LOTS
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REVIEW CROUP
BEGINS- SLOWLY
SEASON- AUTUMN
TIME- EVENING / NIGHT
EPIGLOTTITIS
BEGINS SUDDENLY
SEASON- ALL YEAR
TIME- ALL DAY
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Respiratory Arrest
Early recognition and intervention prevents deterioration to cardiopulmonary arrest and probable death.
Only 10% of children who progress to cardiopulmonary arrest are successfully resuscitated.
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EPIGLOTTITIS
SYMPTOMS: RETRACTIONS NOISY, HIGH PITCHED SQUEAKY
INHALATIONS CYANOSIS ODD HEAD POSTURE (SNIFFING POSITION)
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EPIGLOTTITIS
WHAT CAUSES AIRWAY OBSTRUCTION?
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EPIGLOTTITIS
WHAT CAUSES AIRWAY OBSTRUCTION? FATIGUE
LARYNGOSPASM
POOLED SECRETIONS
PROGRESSIVE SWELLING OF SUPRAGLOTTIC STRUCTURES
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EPIGLOTTITIS
TREATMENT:
AIRWAY MANAGEMENT HIGH FLOW HUMIDIFIED OXYGEN TO MAINTAIN
SATURATION POSITIONOF COMFORT NOISY, HIGH PITCHED SQUEAKY INHALATIONS CYANOSIS ODD HEAD POSTURE (SNIFFING POSITION) HOT LIQUIDS FOREIGN BODY INGESTION INHALATION INJURIES
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REVIEW CROUP
VOICE- HOARSE
COUGH- BARKING
FEVER- YES
SALIVA- MINIMAL
NECK SWELLING-
MINIMAL
EPIGLOTTITIS VOICE- MUFFLED
COUGH- USUALLY NONE
FEVER- YES
SALIVA- LOTS
NECK SWELLING- LOTS
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REVIEW CROUP
BEGINS- SLOWLY
SEASON- AUTUMN
TIME- EVENING / NIGHT
EPIGLOTTITIS
BEGINS SUDDENLY
SEASON- ALL YEAR
TIME- ALL DAY
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Respiratory Arrest
Early recognition and intervention prevents deterioration to cardiopulmonary arrest and probable death.
Only 10% of children who progress to cardiopulmonary arrest are successfully resuscitated.
![Page 29: Pediatric Advanced Life Support “UPPER AIRWAY” Presented By: Mike Pyorala, RCP.](https://reader030.fdocuments.net/reader030/viewer/2022032517/56649c9d5503460f9495bc31/html5/thumbnails/29.jpg)
Pediatric Advanced Life Support
“UPPER AIRWAY”
Presented By: Mike Pyorala, RCP
THANK YOU !