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Airway Equipment

Airway Care

Laryngoscope Handle *Always held in the left hand *Batteries for light
Types of Blades Curved/McIntosh Blade Straight/Miller Blade
Curved/ McIntosh fits into the vallecula, indirectly raises epiglottis (Adult) can't see vocal cords Advance Blade
Straight/Miller fits directly under the epiglottis (Preferred for Infant)
Laryngoscope Troubleshoot: If light doesn't work * Tighten bulb * Check handle attachment * Change blade * Change batteries
Blade Sizes Adult: Size 3 Pediatric Size: 2 Term Infant: Size 1 Pre-Term: Size 0
Stylet Used to aid in ORAL intubation Shapes the tube for easier insertion End is to be recessed 1 cm above ET Tube
Magill Forceps Used to aid in nasal intubation Inserted in mouth to lift tube into trachea
Endotracheal Tubes Tube Sizes Pre/Full Term Infants: Preterm Infant 2.5- 3.0 Full-term Infant 3.0-3.5
Endotracheal Tubes Tube Sizes Adult: Male wt in kg\ 10 8.0-9.0
Endotracheal Tubes Tube Sizes Adult: Female 7.0-8.0
Tube Markings Oral Intubation: 21-25 cm mark at lip Nasal Intubation: 26-29 cm mark at nare
Cuff Types * High Pressure Low Volume, Low Compliance * Low Pressure, High Volume, High Compliance, Floppy Cuff * Cuff pressure should not exceed 20mmHg in order to allow circulation to the tracheal mucosa
Monitoring Cuff Pressure Measured with a 3 way stopcock, syringe, pressure manometer Cufflator: used to eliminate syringe, and manometer and stopcock cuff pressure should not exceed 25cmH20 If cuff reads 0 check connections
Endotracheal Tubes Double- Lumen, Esophageal Tracheal Combitube, Laryngeal Mask Airway, Hi-Lo Evac Tubes
Double Lumen (Carlen's Tube)(DLT) ET Tube with 2 independent lumens of different lengths longer Tube: inserted in either the left or right main stem shorter Tube: placed in the trachea above the carina
Double Lumen (Carlen's Tube)(DLT)2 Each Lumen can ventilate one lung separately or they can be connected via wye and share ventilation source
Indications for double lumen ETT * Independent lung ventilation * Lung Abscess Unilateral lung disease * Pneumonectomy, Lobectomy, Esophageal Resection, Aortic * Aortic repair * Bronchopleural Fistulas Trauma to 1 lung
Esophageal Tracheal Combitube EMERGENCY TRANSPORT * Option for emergency airway management * placed blindly
Laryngeal Mask Airway (LMA) Positioned directly over the opening into the trachea (hypopharynx) Intubate through the LMA Do Not Remove, Until Intubated
Hi-Lo Evac Tube indicated for the use of oral or nasal endotracheal intubation that requires continuous aspiration of subglottic secretions continuous suction is provided via pilot tube connected to a vacuum 20mmHg
Hi-Lo Evac Tube Helps With: Method used to reduce incidence of Ventilator Acquired
Created by: sukarieh