Advanced Airway Flashcards
I identify the 8 Ps of intubation
Prepare.
position
pre oxygenate
Pre-treatment
paralysis and induction
protection
position
placement and proof
post-intubation management
What is the 3,3,2 rule?
measurement of three fingers between the upper and lower teeth of the open mouth of a patient indicates the ease of access to the airway through the oral opening.
Measurement of three fingers from the anterior tip of the mandible to the anterior neck provides an estimate of the volume of the submandibular space.
measurement of two fingers between the floor of the mandible to the thyroid notch on the anterior neck identifies the location of the larynx relative to the base of the tongue.
Mallanpatie class 1 The tonsils, uvula, and soft and hard palates are visible.
Mallanpatie class 2 The soft palate and at least part of the uvula are visible
The soft palate is visible
Nothing beyond the tongue is visible
Cormac Lahane view
What are the criteria for H.E.A.V.E.N?
Hypoxemia
Extreme size
anatomic disruption
Vomit
Exsanguination
Neck mobility
What are the preferred methods of intubation in H.E.A.V.E.N categories?
Hypoxemia, DL
Extreme size VL
anatomic disruption VL
Vomit DL/VL
Exsanguination DL
Neck mobility VL
Direct largogosipity
Video largogosipity ( video)
SALAD technique
Suction Assisted Laryngoscopy and Airway Decontamination (SALAD)
When preparing a patient for intubation how should you position your patient?
Head elevated 30-35 degrees the tragus of the ear and the sternal notch to be lined up
When is passive oxygenation performed? What equipment is needed and how is it performed?
How is it accomplished for a non-breathing patient?
Passive oxygenation is performed pre-intubation for 3-5 minutes for nitrogen washout with an NC and a BVM together for spontaneous breathing patients.
non-breathing patients use a slow ventilation BVM
When do you use a BVM?
O2 sat > 93%
