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Intubation

Surgery 2

QuestionAnswer
indications for intubation inability to oxygenate patient (SpO2,90%), inability to ventilate patient (resp acidosis), patient unable to protect airway
most common cause of airway obstruction in an unconscious patient tongue
three maneuvers to temporarily relieve airway obstruction chin lift/jaw thrust, oral airway in an unconscious patient, nasopharyngeal airway
five signs of airway compromise agitation, tachypnea, increased resp effort, stridor, hoarseness
proper oxygenation of a patient prior to intubation 100% oxygen via mask for 5 min
which endotacheal tube should be used in patients <8 years old uncuffed to avoid tearing of airway due to overinflation
size of ET tube used for most women 7-8 mm
size of ET tube used for most men 7.5-9 mm
size of ET tube used for most pediatrics diameter of patients little finger
how should the laryngoscope blade be inserted on the right side of the mouth and used to sweep the tongue to the left
three benefits of applying cricoid pressure prevents aspiration of gastric contents, prevents intubation into the esophagus, aids in visualization of the cords
five methods used to confirm tube placement condensation in the ET tube, auscultate both lung bases, observe chest movement and symmetry, attach end-tidal CO2 analyzer to ET tube, check stat chest x-ray (tube should be 4-5 cm above the carina)
which method of ET tube confirmation is most accurate end-tidal CO2 detection
after intubation, if breath sounds are heard on the right but not on the left, what should be done pull back on the ET tube and auscultate again
the early complications of intubation aspirations, trauma, equipment failure, inability to intubate
the late complications of intubation ventilator associated pneumonia, accidental extubation, vocal cord dysfunction or paralysis
the max amount of time that ventilations should be interrupted to perform intubation 30 sec
Created by: Abarnard
 

 



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