Pediatric Ventilation Management
Use supplemental
oxygen to maintain
an oxygen saturation
of >94%
or >90% for patients
on home oxygen for
chronic conditions
Basic Airway Maneuvers
-Open Airway Chin Lift/Jaw Thrust
-NPA or OPA as needed
-Suction as needed
Consider Cervical Stabilization
Continue Assessment
Go to Cervical Stabilization
Consider Altered Mental
Status/Syncope
Continue Assessment
Go to Cervical Stabilization
Respiratory Distress and/or
Tracheostomy Tube
Replacement Protocol
if needed
Continue Assessment
Go to Respiratory Distress
Go to Tracheostomy Tube Replacement
Administer oxygen
BVM as needed
No
Intervention
effective?
Yes
Extraglottic Airway
Continue Assessment
Go to Extraglottic Airway
Endotracheal Intubation
Continue Assessment
Go to Endotracheal Intubation
ECG Monitor
Consider Sedation Administer MIDAZOLAM 0.1 mg/kg IV/IN Titrated to Effect. Maximum Single
Dose : 5 mg. Must be Given Slowly Over 3-5 Minutes. Additional Doses by Physician Order Only.
Or; KETAMINE 2 mg/kg IV Or 4 mg/kg IM
Maintain Sedation Administer DIAZEPAM 0.2 mg/kg IV.Maximum dose 5 mg. May Repeat After 5
Minutes with Physician Order. Or;
DIAZEPAM 0.5 mg/kg PR via #5 or #8 French feeding tube, Maximum Dose 20 mg
Extraglottic/ETT
placement succesful?
Yes
No
Able to ventilate
without Extraglottic/ETT
in place?
Yes
No
Cricothyroidotomy
Continue Assessment
Go to Cricothyroidotomy
Continue Care
and Transport as
Appropriate
Continue Assessment
Go to General Adult Assessment