Episode 19-Pediatric Airways

We take a look at pediatric airway management this week! We discuss the controversy, training, tip and tricks for this low-frequency, high-risk practice. It was a very spirited discussion, to say the least.

Even ED residents, after a 3-4 year residency, on average intubation less than 10 pediatric patients...nobody is "good" at this without consistent practice!

A study showed that it takes 50 pediatric intubations to have a first pass success >90%. Less than 50 intubations, first pass success is ~50%.

https://www.researchgate.net/publication/23153495_Should_EMS-paramedics_perform_paediatric_tracheal_intubation_in_the_field

Some places are getting rid of the practice entirely!

https://caparamedic.org/news-and-events/california-to-end-paramedic-pediatric-intubation