Certified Registered Nurse Anesthetist (CRNA) Practice Exam

Which is the safest technique of intubation in children suffering from epiglottitis?

1. Intubation in the operating room after induction with an inhaled anesthetic agent

2. Intubation using a video laryngoscope

3. Intubation in the semi-sitting position with a muscle relaxant

4. Intubation in the emergency room without sedation

The correct answer is: Intubation in the operating room after induction with an inhaled anesthetic agent

The safest technique for intubation in children suffering from epiglottitis is to perform the procedure in the operating room after inducing anesthesia with an inhaled anesthetic agent. This approach allows for controlled conditions and the ability to manage the airway effectively, which is crucial given the airway swelling associated with epiglottitis. Inducing with an inhaled anesthetic agent enables a smooth transition into anesthesia while minimizing the risk of exacerbating airway obstruction. The operating room environment is equipped with advanced monitoring and emergency support, ensuring that any unforeseen complications can be addressed rapidly. Additionally, having a specialized team available in the operating room means any necessary interventions, such as cricothyrotomy or tracheostomy, can be performed if needed. Other techniques, such as intubation with a video laryngoscope or in a semi-sitting position, while potentially effective under certain circumstances, may not provide the same level of safety and readiness to respond to acute airway challenges that can arise with epiglottitis. Furthermore, intubation without sedation in the emergency room can lead to a distressing situation for the patient and increases the likelihood of complications. Therefore, conducting intubation in the controlled environment of the operating room with proper induction techniques is the