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Paeds Casesacute-care-resuscitation-and-toxicology

Paeds Cases · acute-care-resuscitation-and-toxicology

Rapid sequence intubation in children — OSCE

OSCE assessment and procedural-planning station for a child requiring rapid sequence intubation, with a structured oral of preparation, drug choice and complication management.

osce assessment and procedural-planning station2 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Study tools

Target exams

MRCPCH ClinicalRACP DCE
Prompt
You have 9 minutes with a 3-year-old with worsening respiratory failure who needs intubation. Prepare the equipment and drugs, state your tube size and blade, justify your induction agent, and describe how you would manage a desaturation during the attempt.

Station brief (candidate)

  • Prepare the airway equipment and state the endotracheal tube size (uncuffed and cuffed) and laryngoscope blade for this child, showing your formula.
  • State your induction agent, neuromuscular blocker, and premedication with doses, and justify the induction choice by the child's haemodynamic state.
  • Describe how you would confirm tube placement and how you would manage a desaturation during laryngoscopy.
  • Outline the post-intubation care, including sedation and monitoring. [1] [3]
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References4ShowHide
  1. [1]Sagarin MJ Rapid sequence intubation for pediatric emergency airway management. Pediatr Emerg Care, 2002.PMID 12488834
  2. [3]Zelicof-Paul A Controversies in rapid sequence intubation in children. Curr Opin Pediatr, 2005.PMID 15891426
  3. [5]Fastle RK Pediatric rapid sequence intubation: incidence of reflex bradycardia and effects of pretreatment with atropine. Pediatr Emerg Care, 2004.PMID 15454737
  4. [6]Kerrey BT Rapid sequence intubation for pediatric emergency patients: higher frequency of failed attempts and adverse effects found by video review. Ann Emerg Med, 2012.PMID 22424653
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