✅ Preparation:  ✅ Insertion Procedure:  ✅ Secure the Tube:  ✅ Confirm Placement (Critical Safety Step):  ⚠ Safety Tips:  ✅ Example: NG Tube Placement Video – OPENPediatrics 

Steps to Replace: *Lidocaine jelly can be used to decrease the pain of insertion but there is no literature about the safety or efficacy of its use for this purpose.*  ** If a G-tube has been out for several hours, its stoma may have already started to close.  If this occurs, a smaller G-tube can […]

Steps to Replace: ** If unable to obtain a tracheostomy of appropriate size, can use 6.0 endotracheal tube cut down to 12 cm; insert no more than 1 cm past the cuff**   VISUALIZE with Videos!  CHANGING A TRACHEOSTOMY – OPENPediatrics  TRACHEOSTOMY TROUBLE SHOOTING – OPENPediatrics 

✅ When to Use an IO  Indications (Emergent situations when IV access is delayed or impossible):  Consider IO when:  ✅ Equipment Needed:  ✅ Common IO Insertion Sites:  Site  Landmark & Notes  Proximal Tibia (Most Common)  2 cm below the tibial tuberosity, medial flat surface  Distal Femur (Infants)  2–3 cm above the patella, midline  Distal Tibia  […]

✅ Common Peripheral IV Sites in Pediatrics  Site  Notes  Dorsum of hands  Often easiest, visible veins, easy to secure  Forearm / Antecubital (AC) Fossa  Good flow, easier in older kids  Wrist veins  May be superficial and visible  Scalp veins (infants)  Use vein above the ear or temporal veins (last resort)  Feet / Saphenous vein (ankle)  […]