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Pediatric Medical Instruments Overview

The document outlines various medical instruments used in pediatric care, including the AMBU bag, NG tube, ICD tube, insulin syringe, venflon, bone marrow equipment, and ET tube. Each instrument is described with its specifications, uses, and important procedures such as insertion techniques and indications for use. Key details include sizes for different age groups and safety measures to prevent complications.

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selvasindhu245
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17 views3 pages

Pediatric Medical Instruments Overview

The document outlines various medical instruments used in pediatric care, including the AMBU bag, NG tube, ICD tube, insulin syringe, venflon, bone marrow equipment, and ET tube. Each instrument is described with its specifications, uses, and important procedures such as insertion techniques and indications for use. Key details include sizes for different age groups and safety measures to prevent complications.

Uploaded by

selvasindhu245
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

PEDIA- Instruments

1) AMBU- Artificial Manual Breathing Unit

250 neonate/ 500 pedia/ 2000 adults

Self inflated/ Non-rebreathing

2 valves- pop-off (LEAK Test)🡪 To prevent high pressure formation, which is mostly not necessary
(>40mmh req in asthma, pulm edema, partial obs)/ Fishmouth (sucker) valve🡪 Prevents back
flow of air

2) NG Tube/ Ryles-

PVC🡪 Change after 15 days/ Polyurethane🡪 6 wks

Blunt tip with holes surrounding it, so that even if tip gets blocked.

With markings

Newborn is 5-7fr, children 8-12 fr, adults 18fr (1f r= 1/3rd mm diameter)

Measured from TIP OF NOSE🡪 Tragus🡪 Umbilicus

After inserting, inject air, hear with steth over abdomen (WHOOSH TEST)/ pH of contents/ put
end in water, check for air bubbles/ Xray

Indications- Therapeutic and Diagnostic

- Gastric lavage
- Gastric aspirate test for neonatal sepsis
- Poisoning
- TEF
- Enteral feeding and administration of drugs

3) ICD Tube

Bag should be at a lower level than chest (Principles: Gravity, Pos pressure, Suction)
Identify 4th ICS and using Kelly clamp after incision, insert and drive it in for 2-3cm, towards apex.

4) Insulin Syrimge

1ml (100 units of insulin) and 2ml sizes

Needle is covered with silicone to pass easily through the skin

🡪0.25ml best for children

Uses: Inject insulin/ Mantoux / BCG/ Allergy testing/ Vit K 1ml/ Collect ABG analysis

5) Venflon

More the gauge, lesser the diameter (outer) and lesser the flow rate

Wide Bore Cannulas- Orange= 14G (max. flow rate)

Grey- 16G

White- 17G

Green- 18G

-------

Pink- 20G (length decreases)

Blue- 22G

Yellow- 24G (PEDIA)

Purple- 26G (Pedia)


6) Bone Marrow

Parts- Trocar/ Stillete / Cannula/ Adjustable Guard

Dry Tap- Myelofibrosis, Aplastic Anemia (do fine aspiration instead), Hairy Cell Leukemia

Complication- Vasovagal Attack

7) ET Tube

Adapter connects to the AMBU bag or ventilator

Black line- at the level of the vocal cord so that the tip is at the bifurcation of trachea

Radioopaque marker- for visualisation in Xray

Cuff- Positive ventilation and preventing leak 🡪 (used in age >8yrs)/ Use syringe to inflate the cuff

[Less than 8yrs subglottic area is narrow acts like a cuff]

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