In what scenario would airway adjuncts be utilized during PALS?

Airway adjuncts play a crucial role in managing the airway of a pediatric patient, especially in situations where conventional methods such as bag-mask ventilation are not sufficient. In cases where bag-mask ventilation is inadequate or ineffective, utilizing airway adjuncts ensures that the airway remains open and allows for better ventilation. This may occur in situations such as when the patient has decreased level of consciousness, muscle tone impairments, or anatomical obstructions that hinder effective mask ventilation.

When the bag-mask ventilation is working well, there typically isn't a need for airway adjuncts since the primary goal of maintaining a clear airway and adequate oxygenation is being achieved through that method. Similarly, in scenarios where the patient is awake and alert, airway adjuncts are usually unnecessary, as the patient can maintain their airway independently. Employing these adjuncts during CPR is not standard practice as the primary focus during CPR is on effective compressions and ventilations rather than the adjuncts themselves.

Therefore, the use of airway adjuncts is specifically indicated when bag-mask ventilation fails to provide adequate oxygenation and ventilation in pediatric patients.