Advanced Airway

Question 1

Pediatric Airway assessment

Answer 1

Appearance
(Tone, activity,consolability, speech/cry)
Circulation
Work of breathing

Question 2

ETT cuff pressure

Answer 2

20 - 30 cmH2o

Question 3

X-ray confirmation on depth of ETT

Answer 3

5cm above carina
T2 - T4
Collar bones junction

Question 4

Atropine for pediatric intubation

Answer 4

Dose: 0.02mg/kg/dose IV, May repeat once
Minimum: 0.1mg
Max: 0.5mg/dose

Question 5

Fentanyl for sedation

Answer 5

Dose: 1-3mcg/kg
Drip: 1-2kcg/kg/hr

Question 6

Ketamine

Answer 6

Induction: 1-2mg/kg
Pain: 0.1-0.25mg/kg
Drip: 5-20mcg/kg/min

Question 7

Propofol

Answer 7

Initial dose: 40mg every 10 seconds to desired effect
Drip: 5-200mcg/kg/min

Question 8

Rocuronium

Answer 8

Dose: 0.6-1.2mg/kg
MAX: 10mg

Question 9

Succinylcholine

Answer 9

Dose: 1.5mg/kg
Only depolarizing paralytic

Question 10

Considerations for bariatric intubation

Answer 10

Very high risk for rapid desat
Increased work to distribute oxygen to tissues

Question 11

Considerations for OB intubation

Answer 11

Increased minute ventilation
-Mild respiratory alkalosis: 30mmHg
- Must maintain Spo2 >95%
Chronic respiratory diseases worsen

Question 12

Needle cricothyrotomy equipment

Answer 12

14g catheter
3mL syringe, plunger removed
7.0 ETT adapter
BVM w/ ETCO2

Question 13

O2 percentage increases ___ for every liter administered

Answer 13

+ 4%

Question 14

HEAVEN Criteria

Answer 14

Hypoxemia
-Pre-oxygenate
Extremes of size
- Ramp position
Anatomical challenges
-Remove obstructions
Vomit/blood/fluid
-Suction
Exanguination
-Stop bleeding
Neck mobility
- Manually hold C-spine

Question 15

DSI vs RSI

Answer 15

DSI achieves oxygen/hemodynamic optimization

Question 16

CVP

Answer 16

8-12 mmHg

Question 17

Pediatric Endotracheal Tube Size

Answer 17

Age in years/ 4 + 4

Question 18

L