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Which of the following statements are correct about pediatric oral intubation?

a) Pediatric oral intubation is typically performed without the use of a laryngoscope.
b) The appropriate size of the endotracheal tube for pediatric oral intubation is determined by the newborn's weight.
c) Cuffed endotracheal tubes are generally preferred for pediatric oral intubation.
d) Pediatric oral intubation is contraindicated in all cases.

1 Answer

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Final answer:

Pediatric oral intubation often uses a laryngoscope for tube placement, and cuffed endotracheal tubes are generally preferred to prevent air leaks. The correct size tube isn't solely based on weight but may use various methods for size estimation. The procedure is essential in specific emergencies and surgeries, not universally contraindicated.

Step-by-step explanation:

The statements regarding pediatric oral intubation need to be clarified accurately. Pediatric oral intubation is a medical procedure used to maintain an open airway by inserting a tube through the mouth and into the trachea, typically used when an individual is under general anesthesia and unable to breathe unaided. Generally, during this procedure:

  • a) A laryngoscope is used to visualize the vocal cords and facilitate the correct placement of the endotracheal tube.
  • b) The correct size of the endotracheal tube for infants is often estimated by using a formula based on the child's age or using a tape with pre-calculated sizes rather than just the newborn's weight.
  • c) The use of cuffed endotracheal tubes is increasingly common in pediatric practice to ensure a proper seal and prevent air leaks, though the decision may vary depending on the patient's age and condition.
  • d) Pediatric oral intubation is not contraindicated in all cases; rather, it is a vital procedure in certain medical emergencies and surgeries to ensure a patent airway.

In light of this information, the most accurate statement is c) Cuffed endotracheal tubes are generally preferred for pediatric oral intubation, although clinical judgment regarding individual patient needs must be applied.

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