Airway situation
Bronchiolitis / infant respiratory failure
Type: Peds
Before
- Assess apnea, fatigue, dehydration, hypoxemia; use peds/RT support early.
- Small airway equipment, suction, appropriately sized BVM/mask, and backup tubes ready.
- Preoxygenate gently; avoid excessive pressures.
During
- Gentle BVM and tube placement; infants desaturate and brady down quickly.
- Confirm tube depth; mainstem/dislodgement risk is high.
- Use peds dosing and temperature/glucose awareness.
After
- Age-appropriate RR/VT; monitor leak, tube depth, and sedation.
- Frequent reassessment after any movement.
- Peds ICU/neonatal pathway.
Pitfalls
- Adult-size mask or poor seal.
- Tube too deep.
- Forgetting glucose/temperature.