1 Airway Mgmt

Question 1

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

Answer 1

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

Question 2

TMD: cm difficulty

Answer 2

<6 or >9 cm.

Question 3

Mandibular protrusion, which classes good or not

Answer 3

I good, III bad

Question 4

Normal AO flexion

Answer 4

90-165 degrees

Question 5

Normal AO extension, difficult when

Answer 5

35 degrees. <23 degrees

Question 6

Conditions that impair AO mobility

Answer 6

Klippel feil, downs

Question 7

Grade IIa v IIb view

Answer 7

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

Question 8

RF for difficult mask

Answer 8

BONES BMI >26 age >55

Question 9

RSI cricoid p before and after LOC

Answer 9

2kg/20 newtons before, 4/40 after

Question 10

Causes of angioedema and tx of each

Answer 10

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

Question 11

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

Answer 11

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

Question 12

Syndromes w large tongue

Answer 12

BT big tongue; beckwith, trisomy 21

Question 13

Small mandible syndromes

Answer 13

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

Question 14

Cervical anomaly syndromes: kids try gold

Answer 14

Klippel fail, trisomy 21, goldenhaur

Question 15

Pierre robin dev from nml how

Answer 15

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

Question 16

Treacher Collins deviations

Answer 16

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

Question 17

Trisomy 21 deviations

Answer 17

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

Question 18

Klippel feil dev

Answer 18

Neck rigidity

Question 19

Cri du chat abn

Answer 19

Small mandible, laryngomalacia, stridor

Question 20

ETT goes where what goes

Answer 20

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

Question 21

Contraindic to nasal airway

Answer 21

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

Question 22

Why low vol high p cuffs good vs bad

Answer 22

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

Question 23

What most ett cuffs are

Answer 23

Low pressure high vol

Question 24

LMA cuff: max PPV pressure, max cuff pressure

Answer 24

PPV 20 cm h20, cuff 40-60 target range

Question 25

LMA 1: size, cliff, largest ett/bronnch

Answer 25

<5 kg, 4 ml, 3.5, 2.7

Question 26

LMA 1.5: size, cliff, largest ett/bronnch

Answer 26

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

Question 27

LMA 2: size, cliff, largest ett/bronnch

Answer 27

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

Question 28

LMA 2.5: size, cliff, largest ett/bronnch

Answer 28

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

Question 29

LMA 3: size, cliff, largest ett/bronnch

Answer 29

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

Question 30

LMA 4: size, cliff, largest ett/bronnch

Answer 30

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

Question 31

LMA 5: size, cliff, largest ett/bronnch

Answer 31

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

Question 32

LMA proseal features

Answer 32

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

Question 33

LMA that is disposable and sim to proseal

Answer 33

LMA supreme

Question 34

Intubation LMA, cant use where

Answer 34

Fasttrach, MRI

Question 35

LMA flexible: features, good when, bad where

Answer 35

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

Question 36

Steps if aspiration after LMA in

Answer 36

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

Question 37

Most to least stimulating airway devices

Answer 37

Combitude, dvl, FO ett, LMA

Question 38

Rules for LMA in lap

Answer 38

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

Question 39

Combitude: placed where, sizing

Answer 39

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

Question 40

Combitude: which cuff occluded hypopharynx vs esophagus

Answer 40

Proximal= hypo, distal= esoph

Question 41

Combitude: cuff vol, attempt vent where if in esophagus

Answer 41

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

Question 42

FO scope: hand placement, lever movement

Answer 42

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

Question 43

When to use Bullard

Answer 43

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

Question 44

EI: where trachea and carina should be reached

Answer 44

Trachea 24 cm carina 35-40

Question 45

When lighted stylet useful

Answer 45

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

Question 46

Trachlight angle in adults vs peds

Answer 46

Adults 90 degrees, peds 60-80

Question 47

Contraindications to TTJV

Answer 47

Upper airway obstruc or laryngeal injury

Question 48

When cric is contrainficated

Answer 48

<6 years kid

Question 49

Where trach is inserted

Answer 49

2nd and 3rd tracheal rings