44. Airway management Flashcards
Snoring and ventilation
Is a predictor of difficult mask ventilation
Cricoid level
Carina level
Cricoid C6
Carina T5
Values for difficult intubation
Neck 43cm
TD 6 cm
Opening 3 cm
Angle 80 degrees
St 12cm
Trachea characteristics
From C6 to T5
10 - 15 cm
16 - 20 horseshaped rings
Innervated by recurrent laryngeal nerve
How much time until saturation decreases 80%
In obese and kids 3 min
In healthy 9 min
Predictors of difficult mask ventilation
OSA
male
> 55 y
BMI > 30
Mall 3/4
Beard
No teeth
Narrowest part of the airway in kids < 6y
Cricoid cartilage
Balloon cuff pressure
Max 25. no minimum
Sniffing position characteristics
Head 7 - 9 cm
Cervical angle 35 degrees
External auditory - external notch alignment
Sellick maneuver pressure
10 Nw, 30 after loss of consciousness
In obese patient, best position for extubation
Head up
THRIVE
60 l/min O2, 3 min from the nose
Dosage for intubation without relaxants
2 mg/kg propofol + 4-5 mcg / kg fentanyl
Age limit for cricothyrotomy
Not less than 6 years
VORTEX protocol
Maximum 3 attempts (one by a senior doctor) to escalate to surgical airway
Mask ventilation, LMA, Tubus