Surgery 2
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| indications for intubation | inability to oxygenate patient (SpO2,90%), inability to ventilate patient (resp acidosis), patient unable to protect airway
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| most common cause of airway obstruction in an unconscious patient | tongue
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| three maneuvers to temporarily relieve airway obstruction | chin lift/jaw thrust, oral airway in an unconscious patient, nasopharyngeal airway
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| five signs of airway compromise | agitation, tachypnea, increased resp effort, stridor, hoarseness
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| proper oxygenation of a patient prior to intubation | 100% oxygen via mask for 5 min
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| which endotacheal tube should be used in patients <8 years old | uncuffed to avoid tearing of airway due to overinflation
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| size of ET tube used for most women | 7-8 mm
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| size of ET tube used for most men | 7.5-9 mm
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| size of ET tube used for most pediatrics | diameter of patients little finger
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| how should the laryngoscope blade be inserted | on the right side of the mouth and used to sweep the tongue to the left
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| three benefits of applying cricoid pressure | prevents aspiration of gastric contents, prevents intubation into the esophagus, aids in visualization of the cords
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| 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)
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| which method of ET tube confirmation is most accurate | end-tidal CO2 detection
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| 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
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| the early complications of intubation | aspirations, trauma, equipment failure, inability to intubate
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| the late complications of intubation | ventilator associated pneumonia, accidental extubation, vocal cord dysfunction or paralysis
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| the max amount of time that ventilations should be interrupted to perform intubation | 30 sec
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Created by:
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