Advanced Airway Flashcards
What does the mnemonic for anticipating difficult BVM ventilations (MOANS) stand for?
Mask/seal
Obesity/Obstruction
Age
No teeth
Stiff
T/F: A nasogastric or orogastric tube should be inserted on all patients who have received bag valve mask ventilation and require continued mechanical ventilation.
True
T/F: A laryngeal mask airway (LMA) will prevent regurgitation and aspiration of gastric contents if it is placed correctly.
False
The King LT airway is not designed to be used with high pressure ventilation (>30 cmH2O).
False
Which of the following patients would be a candidate for bougie-assisted intubation?
a) A patient with a predicted grade 4 view of the glottis in which the intubator is unsure of the tracheal location.
b) A patient with a suspected tracheal-esophageal fistula.
c) A patient with a grade 3 view of the glottis in which the intubator feels that there might be a poor view of the trachea.
d) A patient with a suspected transection of the trachea.
c) A patient with a grade 3 view of the glottis in which the intubator feels that there might be a poor view of the trachea.
You are passing a bougie into the trachea to facilitate intubation when you were unable to visualize the cords. Which is the following is true regarding the use of the bougie?
a) Proper placement of the bougie is confirmed when you feel the “clicking” sensation as the bougie contacts the tracheal rings.
b) Proper placement of the bougie is confirmed when you feel the bougie bump the carina.
c) Proper placement of the bougie is confirmed when you see a “glow” emanating from the trachea.
d) Proper placement of the bougie is confirmed when you are able to pass the endotracheal tube alongside the bougie.
a) Proper placement of the bougie is confirmed when you feel the “clicking” sensation as the bougie contacts the tracheal rings.
T/F: With proper equipment, a needle cricothyrotomy achieves ventilation, but not oxygenation.
False, it achieves oxygenation, but not ventilation.
What does the mnemonic for surgical airway contraindications (SHORT) stand for?
Surgery
Hematoma
Obesity
Radiation distortion
Tumor
Your partner has just places an esophageal detector device (EDD) on the endotracheal tube. The device slowly inflates indicating:
proper placement of the endotracheal tube in the esophagus.
T/F: Continuous waveform capnography will immediately detect accidental extubation or disconnection from the ventilator.
True
T/F: You suspect that your patient has methemoglobinemia. This will decrease the accuracy of pulse oximetry readings.
True
T/F: All patients should receive bag mask ventilation with 100% oxygen prior to attempting RSI.
False
You are preparing to intubate your patient and your partner tells you that “there is no portion of the vocal cords that can be viewed” under direct laryngoscopy. This is indicative of a Grade ____ on the Cormack-Lehane.
IV
What is the minimum number of vital capacity breaths your patient must take while on 100% oxygen in order to effectively preoxygenate prior to RSI?
8
What is the correct weight-based adult dosing for etomidate during RSI?
0.3 mg/kg IV
