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Paediatric Anaesthesia

Tutorial 169

Intubation Of Sick Children – Practical Tips For Adult Intensivists

Rebecca Appelboam

Derriford Hospital, Plymouth

Bruce McCormick

Royal Devon and Exeter NHS Foundation Trust

8TH FEBRUARY 2010

Abstract

Those considering a career in adult ICU in a district hospital, without specialist PICU facilities, will be called upon to assist in the management of critically ill children. It is highly recommended to spend some time training in a PICU - the experience gained can be useful many years later. Many PICUs run refresher courses (e.g. the Splat course, http://www.bmsc.co.uk/courses/SPLAT.htm) or it is usually possible to arrange to spend some time on your regional unit shadowing the permanent staff. The PICU in our region participates in ‘Road-show’ days where recent cases are discussed. It is beneficial to attend local morbidity and mortality meetings and debrief sessions organised by paediatric and emergency departments. It is also worth discussing cases with junior staff and nursing staff, particularly if the outcome for the child had been bad. Take time to discuss your view of events with a colleague.