PPT-Pediatric Infectious Obstructive Airway Diseases

Fred Hill MA RRT Obstructive Airways Diseases of Children Epiglottitis Croup Bronchiolitis Epiglottitis Etiology and Incidence Acute inflammation and edema of supraglottic structures Causative agent most often . Airway Upper Airway Anatomy Lower Airway Anatomy Lung Capacities/Volumes Pediatric Airway Differences Anatomy of the Upper Airway Upper Airway Anatomy Functions warm, filter, and humidify air Nasal c Alyssa Brzenski. Case . A 31 month old term 17kg girl presents for Tonsillectomy and Adenoidectomy as an outpatient. She has a history of frequent ear infections, which have resolved since ear tubes were placed. According to her mom she snores loudly and is much more active than the other children her age. Mom doesn’t think that she stops breathing at night but notices that she always breathes through her mouth and always seems to have bad breath. She has no other past medical history. On exam you observe an overweight female with grade III tonsils but an otherwise unremarkable airway, heart and lung exam.. Alyssa Brzenski. Case . A 31 month old term 17kg girl presents for Tonsillectomy and Adenoidectomy as an outpatient. She has a history of frequent ear infections, which have resolved since ear tubes were placed. According to her mom she snores loudly and is much more active than the other children her age. Mom doesn’t think that she stops breathing at night but notices that she always breathes through her mouth and always seems to have bad breath. She has no other past medical history. On exam you observe an overweight female with grade III tonsils but an otherwise unremarkable airway, heart and lung exam.. Next Generation Science/Common Core Standards Addressed!. CCSS.ELA-Literacy.RH.11-12.2 Determine . the central ideas or information of a primary or secondary source; provide an accurate summary that makes clear the relationships among the key details and ideas. Jed . Wolpaw. . MD, . M.Ed. Outline. Obstructive disease. Upper airway. Extrathoracic. INtrathoracic. Lower airway/Parenchymal. Restrictive disease. Neurologic. Muskuloskeletal. Parenchymal. Pleural and mediastinal. Chronic (Obstructive) Bronchitis. Emphysema . Bronchiectasis . Asthma . Almost always co-exist. Together known as . C. hronic . O. bstructive . P. ulmonary . D. isease (. COPD. ) . or . C. hronic . O. Upper airway. Nasal passage. Turbinates. Oral . cavity. Epiglottis. Vocal cord. Esophagus. Anatomy of the Glottis. Posterior tongue. Epiglottis. Vocal cords. True. False. Esophagus. Prehospital . care providers . Lecture . 4. The Pediatric Airway. Jeffrey M. Elder, M.D.. Deputy Medical Director. Challenges of the Pediatric Airway. Age related dosing and equipment. Anatomical Variations based on age. Anxiety of a sick child. database. 10/4/2014. 1. Presenter Disclosures. I . developed. “IDdx: Infectious Disease Queries” which is currently a free download from . Apple Store. (. iPhone. or . iPad. ) and . Google Play. Amanda Derby RN, BSN, SRNA. York College of Pennsylvania/. WellSpan. Health Nurse Anesthetist Program. Objectives. Review Pediatric vs. Adult airway anatomy. OSA and Obesity. Common Procedures Seen. Note the difference between the leading cause of death in the US in 1900 and 2000. 1900. Pneumonia and flu. Tuberculosis. Infectious diarrhea. 2000. Heart disease. Cancer. Stroke. Were any of the leading causes of death in 2000 infectious diseases? Why do you think this is the case?. New Clinical Approaches for Difficult Airway Situations. 10:31:2016. Supported By: . Patient Safety, Respiratory Therapy, Critical Care, Professional Development Specialists, Rapid Response Team, Intensivists, Anesthesia, Trauma Surgeons, ENT. Sharon P. Massingale, Ph.D. HCLD/CC(ABB). Alabama Department of Public Health. Bureau of Clinical Laboratories. Robert & Jean Adams.  . Foundation’s. 3rd . Annual Clinical Laboratory Science . What is your overall interpretation?. Images courtesy of . Lauren Brown, MD. Anterior Mediastinal air. Flattened diaphragm. Increased size and . lucency. at the bases. . Bibasilar emphysema.. What is the physiologic mechanism and differential for basilar emphysema?.