Sometimes the best course of action is Option Z: Do nothing.
‘The answer is GA. What is the question?’
– KK, LRI
If child ‘understands’:
Explain they need to have an anaesthetic to have op
Give them a CHOICE of either IV or gas
More likely to co-operate if they are going along with what they chose
Avoid giving ‘yes vs no’ choices/options
Works for even young children
If on laying the patient supine the belly is at a greater height than the nose… then seriously consider intubation.
If it is difficult to re-intubate orally during a surgical tracheostomy, pass a bougie rostrally (upwards towards the head) through the tracheal opening, vocal cords and mouth then pass an ETT
“Things do not go wrong because of the medical conditions like anaphylaxis, MH, etc… its because you failed to notice the disconnection, tissued cannula, etc…”