Date Published

March 5, 2025

Updated For

ALS PCS Version 5.2

#SWORBHPTips

Part 4: Pediatric Airway Pearls​​

Troubleshooting BVM

  • Respiratory virus season is upon us ​
  • This means an increase in calls for respiratory symptoms, including in the pediatric population​
  • This #SWORBHPTips series will review some pediatric pearls based on anatomic differences in the pediatric airway + how to alter your management strategy to optimize your ventilation in this population​
  • Post #1 looked at optimal positioning, #2 looked at airway patency technique, #3 looked at ETT tips​
  • This post will examine optimizing your first line strategy in assisting with ventilations: BVM

BVM: Often all that is required for pediatric patients

  • BVM is an essential skill for airway management in patients of all ages​
  • The Indications for the SGA and Orotracheal Intubation Medical Directives are the same: ​
  • Therefore, if BVM is effective no advanced airway is required​
    • This is often the case in pediatric patients​
      • So let's review some BVM troubleshooting

Trouble Bagging?​

REMEMBER: MR. SOPA for corrective steps​

Positioning: "Sniffing position"​

1) Forehead level with chin ​

2) Ear canal level with sternal notch​​

*See #SWORBHPTIPS Part 1 from this series for more information

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