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Paediatric Croup: Navigating Challenging Airway Scenarios
Croup, a common childhood respiratory condition, can present unique challenges when it progresses to require intubation. This blog explores the intricacies of managing a child with croup who has a challenging airway, providing insights and strategies for healthcare professionals facing this complex and scary scenario.
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Isaac is a 2 year old child who has presented to the GP for the fourth time this month. His previous presentations have been for a sore throat and fever and more recently food refusal and complaints of a sore stomach. His mother is very concerned, and rightly so, let's find out what’s happening with Isaac.
You have just received Stacey (6 years) to the paed’s unit following her tonsil and adenoid removal today.
Your next patient is Frankie, a 5 year old girl, who is brought in by her mother Nora. Frankie has been unwell for the past 48 hours with fever, sore throat and headache. The previous day Nora noticed a rash over Frankie’s neck and chest which has since spread over the rest of her body.
Marty presents with throat tightness following an insect bite
One of the most important assessment tools in rapid paediatric assessment is the central capillary refill time (CRT). It is quick, easy to perform and does not require any special equipment.
Australia saw a five fold increase in hospitalisation with anaphylaxis between 1995 and 2005, which sadly also saw an increase in the number of fatalities from anaphylaxis. The new infant feeding guidelines have had very positive results, with many parents and healthcare professionals embracing the change.
2020 ILCOR guidelines emphasise the importance of higher ventilations in paediatric resuscitation. This reflects the higher oxygen requirements of children which is evident in their higher baseline respiratory rate.