Pediatrica intensiva: Art & Science of Pediatric Critical Care
Airways That Scare Me in #pedsICU - Shock Part 1
Jun 7, 2023
In this episode, guest_name_1, a pediatric ICU specialist, discusses the risks of airway management in pediatric ICU, especially for children with cardiac disease or hemodynamic instability. They explore the concept of the resus spiral staircase and how to optimize team management, respiratory support, and hemodynamics. Topics covered include delayed sequence intubation, the use of better drugs and devices, ECMO standby, and de-resuscitation. The podcast also touches on controlling variability during intubation, staff turnover, challenges in the pediatric ICU unit, and the importance of successful intubation and post-intubation monitoring.
48:27
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Quick takeaways
- Optimizing team dynamics and communication is crucial for successful airway management in pediatric ICU.
- Methodical approach to intubation considering patient condition and urgency, with the use of video guidance.
Deep dives
Importance of Team and Environment
Effective team management and an optimized environment are crucial in airway management in pediatric ICU. The composition and communication within the team play a vital role in ensuring a successful procedure. Establishing clear roles, defining tasks, and improving communication can enhance team dynamics. Observing and learning from practices in other settings, such as the operating room, can provide valuable insights. The use of checklists and audible monitoring devices, like audible pulse oximeters, can help streamline the process and improve patient care.
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