Peds

Pediatric anaphylaxis airway

Before / During / After / Pitfalls

Before

• IM epinephrine and oxygenation/resuscitation are first-line; airway planning runs in parallel.
• Use weight/color-zone dosing and equipment; call pediatric/anesthesia/RT help early.
• Prepare for edema, bronchospasm, vomiting, and hypotension.

During

• Avoid delaying epinephrine for airway setup.
• Use smaller backup tubes if swelling is present.
• Expect bronchospasm/high pressures after intubation.

After

• Continue anaphylaxis treatment/observation and ventilator bronchodilator strategy.
• Reassess edema before extubation planning.
• Document trigger, treatments, and weight source.

Pitfalls

• Delayed epinephrine.
• No smaller tube ready.
• Treating post-tube high pressure as only a tube problem.