Preparation

Room and equipment preparation for the occasional paediatric anaesthetist.

Setup

Operating Room:

• Warm the operating room
• Underbody warmer

Anaesthetic machine:

• Paediatric circle circuit
  • Lower volume reservoir bag
    1L appropriate for 1-7 year olds.
  • Lower volume circuit
• Bain (Mapleson F) circuit if desired
  May need to cut the tip from the bag, depending on available equipment.
• Paediatric suction

Airway Equipment

• Mask
• OPA
  Size from angle of mandible to the central incisors.
• Endotracheal Tube
  
  • Size is \(Age/4 + 3.5\) (cuffed)
    Have a half-size above and below.
  • Depth of insertion is \(Age/2 + 12\)
• LMA

Laryngoscope Sizing

Age	Miller	Macintosh
Neonate	0 - 1
Infant	1	1
1-3	1	1
3-5		2
6-12		2-3

LMA Sizing

Weight	Size (kg)
<5kg	1
1.5	5-10
2	10-20
2.5	20-30
3	30-50

Intravenous

Lines:

• IV
  • Consider Burette
  • 250-500mL bag
• Ensure air bubbles removed

Emergency drugs:

• Atropine
  10-20ug/kg.
• Succinylcholine
  • 1-2mg/kg IV
  • 1-3mg/kg intralingual
  • 3-5mg/kg IM

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