Airway & Ventilatory Management
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
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| show | Supplemental Oxygen
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| show | 1-Hypoxia 2-Hypercarbia 3-Upper Airway Stimulation
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| What three things suggest laryngeal fracture? | show 🗑
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| show | below C3-C4
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| If phrenic nerve is spared, what is the result? (2) | show 🗑
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| show | Two
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| show | GCS < 8
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| Give three complications of basilar skull fracture | show 🗑
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| show | Cricothyroidotomy
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| What size needle for jet insufflation? | show 🗑
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| What is the amount of oxygen for jet insufflation? | show 🗑
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| show | 1 sec on, 4 sec off, using thumb over open end of Y-connector
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| Where does the needle go in jet insufflation? | show 🗑
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| show | 1-Chest trauma 2-COPD 3-Complete glottic obstruction
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| What tube size used for cricothyroidotomy? | show 🗑
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| What is a relative contraindication to cricothyroidotomy? | show 🗑
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| What are two indication for cricothyroidotomy? | show 🗑
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| Give three causes of left shift of hemoglobin saturation curve | show 🗑
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| show | 1-Laryngeal injury 2-Tracheal injury 3-Esophageal injury 4-Subglottic edema/stenosis 6-Laryngeal stenosis 7-Aspiration 8-Hemorrhage or hematoma 9-Creation of false passage in ST neck
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| show | Airway and Ventilation
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| Three considerations regarding airway compromise. Can be | show 🗑
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| show | tachypnea, though may be related to pain or anxiety or both
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| Facial fractures can be associated with (3) | show 🗑
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| Fractures of mandible can cause | show 🗑
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| Patient refusing to lie down may be experiencing | show 🗑
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| show | a definitive airway is required
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| Noisy breathing indicates | show 🗑
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| show | talk to patient and elicit a verbal response
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| show | hypoxia
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| show | hypercarbia
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| show | hypoxemia due to inadequate oxygenation
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| show | 1-nail beds
2-circumoral skin
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| show | 1-retractions
2-use of accessory muscles of ventilation
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| Three objective findings of airway compromise | show 🗑
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| show | 1-symmetrical rise and fall of chest
2-auscultation of air movement on both sides
3-pulse oximetry and end-tidal CO2
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| show | 1-airway maintenance techniques
2-definitive airway measures
3-methods of providing supplemental ventilation
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| show | cast cutter
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| OPA in conscious or unconscious patient? | show 🗑
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| show | 1-tongue blade
2-upside down and rotate
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| show | children, because rotation can damage mouth and pharnyx
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| show | either
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| OPA | show 🗑
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| show | nasopharyngeal airway
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| show | laryngeal mask airway
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| When patient arrives in ER with LMA | show 🗑
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| show | No
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| MEA | show 🗑
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| Is MEA a definitive airway? | show 🗑
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| show | prepare for definitive airway
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| show | laryngeal tube airway
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| When patient arrives in ER wit LTA | show 🗑
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| Is LTA a definitive airway? | show 🗑
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| GEB | show 🗑
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| show | 60-cm long, 15-Fr resinstylette with Coude tip angled 40 degrees 3.5 cm from tip with 10-cm graduations
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| show | vocal cords cannot be visualized on direct laryngoscopy
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| Tracheal positioning of GEB is confirmed (3) | show 🗑
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| Three types of definitive airway | show 🗑
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| show | 1-apnea
2-inability to maintain patent airway
3-protection from aspiration (blood or vomitus)
4-impending or potential compromise of airway
5-closed head injury (GCS <8)
6-inadequate oxygenation by facemask
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| show | Eschmann Tracheal Tube Introducer, gum elastic bougie
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| show | does not
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| show | backward, upward, and rightward pressure aids in visualizing the vocal cords
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| How do you confirm ET tube placement? (5) | show 🗑
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| show | rumbling or gurling noises in epigastrium
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| show | esophageal intubation
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| Presence of CO2 in exhaled air indicates ____ but does not ensure ____ | show 🗑
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| show | esophageal intubation has occurred
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| show | 1-suction
2-oxygen
3-bag-mask
4-laryngoscope
5-GEB
6-LMA
7-LTA
8-crico kit
9-ET tube
10-pulse ox
11-CO2 detector
12-drugs
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| When proper position of ET tube is determine | show 🗑
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| show | reasses tube placement by auscultation and CO2 detection
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| Blind NT intubation requires____ and is contraindicated in patient with ____. | show 🗑
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| show | 1-facial fractures
2-frontal sinus fractures
3-basilar skull fractures
4-cribriform plate fractures
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| show | 1-cervical spine injury
2-severe cervical spine arthritis
3-significant maxillofacial or mandibular trauma
4-limited mouth opening
5-receding chin
6-overbite
7-short muscular neck
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| show | Look externally
Evaluate the 3-3-2 Rule
Mallampati
Obstruction
Neck Mobility
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| 3-3-2 Rule | show 🗑
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| show | Class I: pillars, soft palate, uvula, fauces
Class II: soft palate, uvula, fauces
Class III: soft palate, base of uvula
Class IV: hard palate only
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| show | 0.3 mg/kg (usually 20 mg)
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| Dose of succinylcholine | show 🗑
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| show | not significant
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| show | <1 min 5 min or less
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| Succinylcholine not used in patients with _____ because of ____. | show 🗑
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| Thiopental and sedatives | show 🗑
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| To reverse sedative effects of BZD, use | show 🗑
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| show | 1-easier to perform
2-associated with less bleeding
3-requires less time
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| show | 30 to 45 minutes
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| show | cricoid cartilage, the only circumferential support for upper trachea in children
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| Regarding percutaneous tracheostomy in trauma | show 🗑
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| show | should be avoided
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| show | at least 11 L/min
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| show | oxygen saturation of blood O2 sat partial pressure of oxygen PaO2
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| show | 95% adequate PaO2 70%
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| show | oxyhemoglobin from carboxyhemoglobin or methemoglobin
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| show | 1-severe vasoconstriction
2-carbon monoxide poisoning
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| show | 1-anemia Hg <5 g/dL
2-hypothermia <30 C or <86 F
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| Bag-mask ventilation should be performed by ____ persons | show 🗑
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| show | 1-vomiting and aspiration
2-pressure on vena cava, causing hypotension and bradycardia
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| show | hold breath and abort when YOU must breathe
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Created by:
tcrouch2000
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