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Airway Equipment
Airway Care
| Question | Answer |
|---|---|
| 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
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