Advance Airway Management

Question 1

What does MOANS stand for?

Answer 1

Mask seal
Obesity/Obstruction
Age
No teeth
Stiff lungs

Question 2

What does BOOTS stand for?

Answer 2

-Beard
-Obese
-Older
-Toothless
-Snores

Question 3

What does LEMON stand for?

Answer 3

Look externally
Evaluate 3-3-2
Mallampati Score
Obstruction
Neck mobility

Question 4

3-3-2 Rule

Answer 4

Mouth opening - 3 fingers
Under the chin - 3 fingers
Two fingers to the cricoid cartridge

Question 5

Mallampti Scores

Answer 5

Class I is the easiest, Class IV the hardest

Question 6

What is the goal of airway management

Answer 6

Oxygen in
CO2 out
Prevent aspiration

Question 7

Indications for Endtracheal Intubation

Answer 7

Failure of airway maintenance or protection
Failure of ventilation or oxygenation (assess min volume)
Predicted clinical course

Question 8

Laryngoscopy equipment (STOPICBARS)

Answer 8

Suction (yanker tip) & Stethoscope
Tubes
Oxygen via a BVM
Pharmacology
IV Access
Connection & Confirmation
-EKG, NIBP, SpO2, etco2 EDD
Blades and Bougie
Alternate intubation device
Rescue Oxygenation device
Surgical Airway

Question 9

What does PEEP do?

Answer 9

Recruit Alveoli and maintain oxygenation

Question 10

What does the vagus nerve do?

Answer 10

If stimulated will decrease heart rate which will decrease BP

Question 11

What drug do we use to premeditate peds pts prior to intubation?

Answer 11

Atropine, it is anticholenergic so it blocks to parasympathetic nervous system

Question 12

Which blade is better for large tongues?

Answer 12

Miller

Question 13

What does a score of 2 or higher mean on the LEMON scale

Answer 13

Score of 2 or higher indicates a difficult intubation

Question 14

What is a Mac Blade

Answer 14

Curved

Question 15

What is a miller blade

Answer 15

A straight blade

Question 16

Succinylcholine dose

Answer 16

1-1.5mg/kg

Question 17

Contraindications of succinylcholine

Answer 17

Hyperkalemia, rhabdomylsis, muscle trauma, burns, hypertension, bradycardia, hypersensitivity

Question 18

Indications for succinylcholine

Answer 18

To facilitate tracheal intubation and to provide muscle relaxation prior to surgery

Question 19

Fentanyl indications

Answer 19

-pain management
-Facilitate intubation
-sensitive to morphine but requires anagelsia

Question 20

Fentanyl dose

Answer 20

25 to 50mcg every 10 mins with a max of 150mcg for ACPS

Question 21

Fentanyl contraindications

Answer 21

Hypersensitivity

Question 22

Indications for Versed

Answer 22

Sedation prior to intubation or cardioversion
Sedation of intubated pts
Sedation of agitated pts
Anticonvulsant

Question 23

Contraindications for versed

Answer 23

Hypersensitivity, acute narrow angle glaucoma

Question 24

Versed dose

Answer 24

Intubation: 2-5mg IV
Chemical restraint: 2.5-5mg IV/IN
Seizures 2.5-5mg IV 5mg IN

Question 25

Indications for atropine

Answer 25

Symptomatic Bradycardia Organophosphate poisoning Prior to peds intubation

Question 26

Contraindications for atropine

Answer 26

Tachycardia, hypersensitivity to anticholinergics

Question 27

Atropine dose

Answer 27

0.5 to 0.6mg IV/IO push up to 3mg

Question 28

The 7ps of ETI

Answer 28

-prepare -preoxygenate -pretreatment -paralysis -position -placement with proof -post intubation management

Question 29

Prepare

Answer 29

-LEMONS -BOOTS -RODS -SHORT

Question 30

Preoxygenate

Answer 30

100% oxygen 3mins or 8 vital capacity breaths

Question 31

Pretreatment

Answer 31

Lidocaine if awake Fentanyl Or both

Question 32

ET tube confirmation

Answer 32

Objective confirmation -watching the ETT go through the cords -ETCO2 -Esophageal detector device

Question 33

DOPES

Answer 33

Dislodgement Obstruction Pneumothorax Equipment Sedation

Question 34

Rocuronium dose

Answer 34

0.6-1.2mg/kg

Question 35

Rocuronium indications

Answer 35

To provide airway paralysis to facilitate ET intubation

Question 36

Rocuronium contraindications

Answer 36

Renal dysfunction, liver dysfunction, hypersensitivity, pt is not already under anesthesia

Question 37

Vecronium dose

Answer 37

0.08-0.1mg/kg IV

Question 38

Vecronium indications

Answer 38

To achieve paralysis for ET intubation

Question 39

Vecronium contraindications

Answer 39

Hypersensitivity

Question 40

Lidocaine dose

Answer 40

1.5mg/kg 10mg\spray

Question 41

Ketamine dose

Answer 41

0.5-1mg/kg

Question 42

Ketamine indications

Answer 42

Rapid sequence induction

Question 43

Ketamine contraindications

Answer 43

Hypersensitivity, pain, hypertension

Question 44

What does RODS mean

Answer 44

restricted mouth opening obstruction dislodgement stiff lung