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Airway Manoeuvres: Head Tilt & Chin Lift, Lecture notes of Nursing

The simplest way of ensuring an open airway in an unconscious infant or child, is to use a head tilt chin lift technique. This manoeuvre is.

Typology: Lecture notes

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Queensland Paediatric Emergency Care
Nursing Skill Sheets
Airway Manoeuvres: Head Tilt & Chin Lift
CHQ-NSS-51000 Airway Manoeuvres Head Tilt & Chin Lift v1.0
Developed by the State-wide Emergency Care of Children Working Group, March 2020
Opening the Airway
The simplest way of ensuring an open airway in an unconscious infant or child, is to use a head tilt chin lift technique. This manoeuvre is
contraindicated if there is concern of possible spinal injury. In these cases, a jaw thrust manoeuvre is recommended.
Head tilt & chin lift - Infant
Head tilt & chin lift - Child
Step 1:
Place a hand on the infant or child’s forehead, gently tilt the head back into
the correct position. Neutral for infants. Sniffing for children.
Step 2:
Preform a chin lift by placing fingers under the chin, lifting gently upwards,
without pressing on the soft tissue below the mandible.
A towel or bunny rug can be utilised for
infants and toddlers, as a shoulder roll
to counteract the flexion caused by
their relatively larger head.
Tips in children
ALERT
Infants and children have narrower airways that are more easily obstructed by external compression.
Ensure no external pressure is accidently placed on the airway by hands or equipment.
Seek prompt senior nursing/medical advice for assistance in paediatric airway management.
Page 1/3
PRE MANOEUVRE POST MANOEUVRE = CORRECT POSITION
PRE MANOEUVRE POST MANOEUVRE = CORRECT POSITION
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Queensland Paediatric Emergency Care

Nursing Skill Sheets

Airway Manoeuvres: Head Tilt & Chin Lift

CHQ-NSS-51000 Airway Manoeuvres Head Tilt & Chin Lift v1.

Opening the Airway

The simplest way of ensuring an open airway in an unconscious infant or child, is to use a head tilt chin lift technique. This manoeuvre is

contraindicated if there is concern of possible spinal injury. In these cases, a jaw thrust manoeuvre is recommended.

Head tilt & chin lift - Infant

Head tilt & chin lift - Child

Step 1:

Place a hand on the infant or child’s forehead, gently tilt the head back into

the correct position. Neutral for infants. Sniffing for children.

Step 2:

Preform a chin lift by placing fingers under the chin, lifting gently upwards,

without pressing on the soft tissue below the mandible.

  • A towel or bunny rug can be utilised for

infants and toddlers, as a shoulder roll

to counteract the flexion caused by

their relatively larger head.

Tips in children

ALERT

Infants and children have narrower airways that are more easily obstructed by external compression.

Ensure no external pressure is accidently placed on the airway by hands or equipment.

Seek prompt senior nursing/medical advice for assistance in paediatric airway management.

Page 1/

PRE MANOEUVRE POST MANOEUVRE = CORRECT POSITION

PRE MANOEUVRE POST MANOEUVRE = CORRECT POSITION

Children’s Health Queensland Hospital and Health Service

For further information:

Nursing Standard: Clinical Assessment of the Paediatric Patient – Rapid Assessment / Primary and Secondary Survey / Vital

Signs (QH only)

Airway Manoeuvres: Jaw Thrust

Opening the Airway

The simplest way of ensuring an open airway in an unconscious infant or child, is to use a head tilt chin lift technique. This manoeuvre

is contraindicated if there is concern of possible spinal injury. In these cases, a jaw thrust manoeuvre is recommended.

Step 1:

Place hands on either side of the infant or child’s

head.

Step 2:

Place 2-3 fingers at the angle of the jaw on both sides.

Step 3:

Then use fingers to gently lift upward and outward,

without altering the position of the head.

  • When conducting a paediatric jaw thrust, placing the heels

of your hands on the sides of the forehead can be helpful in

stabilising the position of the head

Tips in children

ALERT

Infants and children have narrower airways

that are more easily obstructed by external

compression. Ensure no external pressure is

accidently placed on the airway by hands or

equipment.

Seek prompt senior nursing/medical advice for

assistance in paediatric airway management.

Jaw thrust

Page 2/

References:

This Queensland Paediatric Emergency Nursing Skill Sheet was developed by the Emergency Care of Children working group

(funded by the Queensland Emergency Department Strategic Advisory Panel) with the help of the following resources:

Hazinski, M.F., Nursing Care of the Critically Ill Child. 3rd ed. 2013, St Louis: Elsevier Mosby

Group., A.P.L.S., Advanced Paediatric Life Support. 5th ed. 2011, London: Wiley-Blackwell.

Kliegman, R., Stanton, B., Geme, J., Schor, N. & Behrman, R., Nelsons Textbook of Pediatrics. 20th ed. 2016,

Philadelphia: Saunders Elsevier.

Queensland Health State wide ED Nurse Educator Committee, Pearson, N., Cole, T., & Carney, S. (Eds.). (2016).

Unit 5 Respiratory. In Queensland Health: Transition Support Program - Emergency. Module 3 -

Paediatric Care in the Emergency Department (4th ed., pp. 61–62). State of Queensland (Queensland Health).

CHQ-NSS-51000 Airway Manoeuvres Head Tilt & Chin Lift v1.