Peds

Bronchiolitis / infant respiratory failure

Before / During / After / Pitfalls

Before

• Assess apnea, fatigue, dehydration, hypoxemia; use peds/RT support early.
• Small airway equipment, suction, appropriately sized BVM/mask, and backup tubes ready.
• Preoxygenate gently; avoid excessive pressures.

During

• Gentle BVM and tube placement; infants desaturate and brady down quickly.
• Confirm tube depth; mainstem/dislodgement risk is high.
• Use peds dosing and temperature/glucose awareness.

After

• Age-appropriate RR/VT; monitor leak, tube depth, and sedation.
• Frequent reassessment after any movement.
• Peds ICU/neonatal pathway.

Pitfalls

• Adult-size mask or poor seal.
• Tube too deep.
• Forgetting glucose/temperature.