Advanced Airway Management

Question 1

What is the preferred method of airway management?

Answer 1

Endotracheal intubation

Question 2

What important physiological functions do you bypass when using at ETT?

Answer 2

Warming, filtering and humidifying of air before it enters the lower airway

Question 3

What is the point of attachment called between the handle and blade of a laryngoscope?

Answer 3

The fitting

Question 4

What are 3 other names for a Miller blade?

Answer 4

• Miller-Abbot
• Wisconsin
• Flagg blade

Question 5

What is the size range for laryngoscopes?

Answer 5

0 (for infants) to 4 (for large adults)

Question 6

Where is a Miller blade designed to fit?

Answer 6

Under the epiglottis

Question 7

Where is the MacIntosh blade designed to fit?

Answer 7

In the vallecula

Question 8

What is the generally acceptable ETT size for both male and female adults?

Answer 8

7.5mm

Question 9

Where should the stylet be in reference to the distal end of the ETT?

Answer 9

It should be recessed at least 1cm from the tip of the tube

Question 10

What kind of lubricants damage ETT’s?

Answer 10

Petroleum-based lubricants. Only water-soluble lubricants should be used

Question 11

What does NAVEL stand for?

Answer 11

Naloxone (Narcan)
Atropine
Ventolin (Salbutamol)
Epinephrine
Lidocaine

Question 12

How long should intubation attempt last?

Answer 12

No more than 30 seconds

Question 13

Which mainstream is an ETT more likely to pass into?

Answer 13

Right mainstem

Question 14

What position should the head be in during orotracheal intubation?

Answer 14

“Sniffing position”

Question 15

Neck manipulation can displace the tube by up to ___cm?

Answer 15

5cm

Question 16

What position should the patients head be during transillumination intubation?

Answer 16

Neutral position

Question 17

If a bright light is shown lateral and superior to the Adam’s apple during transillumination intubation, what does this mean?

Answer 17

The lighted stylet is in the right tor left pyriform fossa

Question 18

How big is the connector on an ETCO2 detector?

Answer 18

15/22mm

Question 19

T of F: you can be hypoxic on even 100% oxygen

Answer 19

True

Question 20

5 reasons to be a candidate for RSI

Answer 20

• Awake/responsive
• Clenched teeth
• Significant gag reflex
• Agitated/combative
• Too much airway muscle tone to allow intubation

Question 21

What is the priming dose for Vecuronium?

Answer 21

0.01 mg/kg IV bolus

Question 22

What is another name for Retrograde intubation?

Answer 22

Seldinger Technique (Walters, 1963)

Question 23

What is an equation for children ETT sizing?

Answer 23

(Age in years + 16) divided by 4

OR

(Age in years divided by 4) + 4

Question 24

What is the duration of Succinylcholine?

Answer 24

3-5 minutes

Question 25

What is the depth of insertion of the distal tip for pediatric ETT’s?

Answer 25

2-3cm below the vocal cords

Question 26

T or F: EtC cannot be used in children

Answer 26

True

Question 27

How much longer is the 2nd tube in a PtL?

Answer 27

10cm

Question 28

Another name for needle circothyrostomy?

Answer 28

Translaryngeal cannula ventilation

Question 29

What catheter sizes are used in adult vs paediatric patients undergoing a needle cricothyrostomy?

Answer 29

Adults: 14-16 gauge catheter
Children: 18-20 gauge cather

Question 30

What is unique to COPD and asthma patients in terms of expiration?

Answer 30

They usually require a longer expiration time

Question 31

Why are cricothyrotomy’s contraindicated in children under the age of 12?

Answer 31

Because the cricothyroid membrane is small and underdeveloped

Question 32

What should be inserted into membrane incision during open cric?

Answer 32

A cuffed ETT (6mm or 7mm) or a tracheostomy tube (6 or 8 Shiley)