LLSA 2020 - Review 8: The Pediatric Airway and Rapid Sequence Intubation in Trauma

<<The 2020 Lifelong Learning And Self-Assessment Study Guide, Table of Contents

Review 8: The Pediatric Airway and Rapid Sequence Intubation in Trauma


Suzanne Bentley, MD, MPH, FACEP
Attending Physician, Department of Emergency Medicine, NYC Health + Hospitals/Elmhurst, Elmhurst, NY; Associate Professor, Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY
Gwendolyn Hooley, MD
Department of Emergency Medicine, Mount Sinai Hospital, New York, NY

About this Review

The purpose of this article is to outline the tools needed to successfully complete a rapid sequence intubation (RSI) in pediatric trauma patients, as well as to highlight the aspects of this procedure that are unique to pediatric patients. The authors illustrate how the airway anatomy in children differs from adults and how these differences can affect the procedure. They go on to discuss the equipment necessary for a successful RSI, including monitors, airway adjuncts, and capnography. Several charts note how equipment sizes and medication doses vary by patient weight. The article concludes with a discussion of the various induction and paralytic medications, reviewing the benefits and risks of each.

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Pediatric Airway Anatomy
    2. Airway Adjuncts
    3. Indications for Rapid Sequence Intubation
    4. Preoxygenation
    5. Pediatric Airway Management Equipment
    6. Identifying Difficult Airways
    7. Induction Agents
    8. Paralytics
    9. Complications
    10. Specific Pediatric Trauma Considerations
  5. Critique
  6. Key Points
  7. Editor’s Note
  8. Quick Quiz Answers

<<Previous | Topic Table of Contents | Next >>