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Apex > 1 Airway Mgmt > Flashcards

1 Airway Mgmt Flashcards

1
Q

Inter incisor gap: shows what, small means what, nml cm

A

Ability to align axis, more acute angle b/w oral and glottic. 4

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2
Q

TMD: cm difficulty

A

<6 or >9 cm.

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3
Q

Mandibular protrusion, which classes good or not

A

I good, III bad

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4
Q

Normal AO flexion

A

90-165 degrees

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5
Q

Normal AO extension, difficult when

A

35 degrees. <23 degrees

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6
Q

Conditions that impair AO mobility

A

Klippel feil, downs

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7
Q

Grade IIa v IIb view

A

A= only posterior glottic opening. B= only corniculates and posterior VC, no opening view

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8
Q

RF for difficult mask

A

BONES BMI >26 age >55

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9
Q

RSI cricoid p before and after LOC

A

2kg/20 newtons before, 4/40 after

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10
Q

Causes of angioedema and tx of each

A

ACEI: epi, antihistamines, steroids. C1 esterase deficiency: FFP or C1 esterase, epi/antihistamine wont work

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11
Q

Ludwig’s angina: what it is, best way to do airway or not to do it

A

Infec roof of mouth. Do awake nasal or trach. Dont do retrograde in infec above trachea

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12
Q

Syndromes w large tongue

A

BT big tongue; beckwith, trisomy 21

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13
Q

Small mandible syndromes

A

Please get that chin: Pierre robin, goldenhaur, treacher Collins, cri du chat

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14
Q

Cervical anomaly syndromes: kids try gold

A

Klippel fail, trisomy 21, goldenhaur

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15
Q

Pierre robin dev from nml how

A

Small mandible (micrognathia/hypoplasia), tongue falls back (glossoptosis), cleft palate

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16
Q

Treacher Collins deviations

A

Small mouth and mandible, nasal a/w blockage (Chantal atresia)

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17
Q

Trisomy 21 deviations

A

Small mouth large tongue AO instab, small subglottic diam (subglottic stenosis)

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18
Q

Klippel feil dev

A

Neck rigidity

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19
Q

Cri du chat abn

A

Small mandible, laryngomalacia, stridor

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20
Q

ETT goes where what goes

A

Nose. Nose to chest= tip to carina, nose away- tip away

21
Q

Contraindic to nasal airway

A

Lefort II or III, basilar frac, prev transphenoidal hypophysectomy or Caldwell luc procedure

22
Q

Why low vol high p cuffs good vs bad

A

Good: better aspiration risk. Bad: tracheal ischemia and cant measure pressure

23
Q

What most ett cuffs are

A

Low pressure high vol

24
Q

LMA cuff: max PPV pressure, max cuff pressure

A

PPV 20 cm h20, cuff 40-60 target range

25
Q

LMA 1: size, cliff, largest ett/bronnch

A

<5 kg, 4 ml, 3.5, 2.7

26
Q

LMA 1.5: size, cliff, largest ett/bronnch

A

5-10 kg, 7 ml, 4 ett, 3

27
Q

LMA 2: size, cliff, largest ett/bronnch

A

10-20 kg,10 ml, 4.5 ett 3.5 bronch

28
Q

LMA 2.5: size, cliff, largest ett/bronnch

A

20-30 KG, 14 ML, 5 ETT 4 BRONCH

29
Q

LMA 3: size, cliff, largest ett/bronnch

A

30-50 kg, 20 ml, 6 ett 5 bronch

30
Q

LMA 4: size, cliff, largest ett/bronnch

A

50-70 kg, 30 ml, 6 ett 5 bronch

31
Q

LMA 5: size, cliff, largest ett/bronnch

A

70-100 kg, 40 ml, 7 ett, 5.5 scope

32
Q

LMA proseal features

A

Gastric drain tube, larger mask, bite block, max PPV <30

33
Q

LMA that is disposable and sim to proseal

A

LMA supreme

34
Q

Intubation LMA, cant use where

A

Fasttrach, MRI

35
Q

LMA flexible: features, good when, bad where

A

Wire reinforced, longer and narrow than classic, good in head and neck sx cant use in mri

36
Q

Steps if aspiration after LMA in

A

Leave it in, tburg and deepen anes, 100% 02, low fgf and tv, suction through lma, FOB to eval if need ett

37
Q

Most to least stimulating airway devices

A

Combitude, dvl, FO ett, LMA

38
Q

Rules for LMA in lap

A

<15 degree tilt, <15 cm h20 abd p, <15 min insufflation

39
Q

Combitude: placed where, sizing

A

Hypopharynx. 4-6 ft 37, >6 ft 41

40
Q

Combitude: which cuff occluded hypopharynx vs esophagus

A

Proximal= hypo, distal= esoph

41
Q

Combitude: cuff vol, attempt vent where if in esophagus

A

37- oro 60 ml, 41- oro 70-80. Distal cuff both 5-10 ml

42
Q

FO scope: hand placement, lever movement

A

Non dom on level, dom on scope. Lever down to point tip up, level up to point tip down

43
Q

When to use Bullard

A

Mouth opening 7mm minimum (use if small), cervical instab, treacher or Pierre, adult and peds versions

44
Q

EI: where trachea and carina should be reached

A

Trachea 24 cm carina 35-40

45
Q

When lighted stylet useful

A

Ant airway, small mouth open, unstable neck, oral or nasal ett, Pierre robin, burns

46
Q

Trachlight angle in adults vs peds

A

Adults 90 degrees, peds 60-80

47
Q

Contraindications to TTJV

A

Upper airway obstruc or laryngeal injury

48
Q

When cric is contrainficated

A

<6 years kid

49
Q

Where trach is inserted

A

2nd and 3rd tracheal rings

Apex (21 decks)

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