4b-Endotracheal Intubation

Question 1

Introduction of an endotracheal tube provides an open airway to administer

Answer 1

Oxygen, gaseous medicine, or anesthetics

Question 2

Endo

Answer 2

Within

Question 3

The windpipe

A membranous tube with cartilaginous rings that conveys inhaled air from the larynx to the bronchi and back

Answer 3

Trachea

Question 4

Flap of cartilage at the root of the tongue that covers the trachea is when swallowing

Answer 4

Epiglottis

Question 5

A cartilaginous structure at the top of the trachea which protects trachea and enables phonation (vocalization)

Answer 5

Larynx

Question 6

Foldings in cartilage in the central area of the larynx

Answer 6

Laryngeal folds

Question 7

What the laryngeal folds do

Answer 7

Vibrate to create phonation
Open during inspiration
Relax during expiration

Question 8

Opening between laryngeal folds through which air passes

Answer 8

Glottis

Question 9

Hole where intubation tube goes down

Answer 9

Glottis

Question 10

Purposes of endotracheal intubation

Answer 10

Maintain patent (open) airway
Introduce oxygen with or without anesthetic gas
Prevent aspiration of vomit or saliva
Provides mechanical ventilation if necessary

Question 11

Purpose of the cuff on ET tube

Answer 11

Creates seal preventing escape of gas between tube and trachea, prevents passage of vomitus down trachea outside of the tube

Question 12

If tube too long it can hit the

Answer 12

Bronchi

Question 13

You can only intubate when the jaw is what

Answer 13

When the jaw tone is lax enough

Question 14

When to intubate

Answer 14

When animals are anesthized, not breathing on their own, airway needs to be opened

Question 15

An “armored” tube is made of the

Answer 15

Spiral metal or rubber coil in a latex tube

Question 16

A tubes ID refers to its

Answer 16

Internal diameter in mm

Question 17

How to determine length of tube to use

Answer 17

Hold tube alongside animal from tip of nose to point of shoulder

Question 18

Use this to give rigidity to tube, help with aim

Answer 18

Stylette

Question 19

This is used to depress tongue and shine light on larynx and glottis

Answer 19

Laryngoscope

Question 20

For cats, use ____% Lidocaine and cotton tipped applicator to dumb larynx

Answer 20

2

Question 21

Use _____ to lubricate tube end

Answer 21

Water

Question 22

Best way to hold jaw open

Answer 22

Place fingers behind canines

Question 23

Brachycephalic breeds have an elongated ______ _______

Answer 23

Soft palate (often extending into glottis or under epiglottis)

Question 24

To intubate a brachecephalic breed you must do what to visualize the larynx and glottis

Answer 24

Elevate the soft palate

Question 25

For brachecephalic breeds use a ________ (shorter/longer) tube, with a _______(smaller/larger) ID

Answer 25

Shorter, smaller

Question 26

In cats, the laryngeal folds

Answer 26

May close completely between breaths. (End of expiration, start of inspiration)

Question 27

Cats frequently experience this upon intubation

Answer 27

Laryngospasm

Question 28

Tube should extend no more than ____ in beyond rostral end of muzzle

Answer 28

1/2 in

Question 29

When to remove stylette

Answer 29

After tube is inserted into glottis

Question 30

Removal of the endotracheal tube

Answer 30

Extubation

Question 31

How long should animal be on pure oxygen following procedure, after anesthetic gas is turned off

Answer 31

5 minutes

Question 32

The tube should be removed when the animal does what

Answer 32

Begins swallowing or coughing (remove quickly if begins biting down)

Question 33

For brachycephalic breeds you should delay _______ as long as possible

Answer 33

Extubation

Question 34

An endotracheal tube goes in _____ (the hole) and into the _____

Answer 34

Glottis, trachea