Airway Flashcards

1
Q

How many classes are there in the Mallampati score?

A

4

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2
Q

Describe the 4 classes of Mallampati score

A

Class 1: Soft palate, uvula, fauces, pillars
Class 2: Soft palate, uvula, fauces
Class 3: Soft palate, base of uvula visible
Class 4: Only hard plate visible

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3
Q

What is the classification for views of glottis during laryngoscopy?

A

The cormack-lehane classification

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4
Q

What are the 4 grades of the Cormack-Lehane Classification?

A

Grade 1: Full view of glottis
Grade 2: Partial view of glottis, only posterior extremity of glottis seen or only arytenoid cartilages
Grade 3: Only epiglottis seen
Grade 4: Neither glottis nor epiglottis seen

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5
Q

What length at the lips should an ETT be for male and female adults?

A

Male: 22-24cm
Female: 20-22cm

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6
Q

What type of ETT is used for adults?

A

Cuffed Parker Flexi-Tip
9.0 - adult male
8.0 - adult male/female
7.0 - adult female
6.0 - large child

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7
Q

What type of ETT is used for paediatrics?

A

Microcuff
5.5 - 8-10yo
5.0 - 6-8yo
4.5 - 4-6yo
4.0 - 2-4yo
3.5 - 8mo-2yo

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8
Q

What type of ETT is used to pre-term infants?

A

Coviden Cuffless
2.5 - appropriate pre-term infants

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9
Q

What type of bougie is used for intubation?

A

Frova 14Fr intubating catheter
Used for adult and large child intubation

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10
Q

Do you use a bougie or stylet for intubation paediatrics?

A

Stylet
10Fr intubating stylet for ETT sizes 4.5 - 5.5
6Fr intubating stylet for ETT sizes 2.5 - 4.0

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11
Q

What are the indications for oral endotracheal intubation?

A

Actual loss of airway patency and/or airway protection

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12
Q

What are the contraindications for oral endotracheal intubation?

A

Conscious breathing patients

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13
Q

What are the 7 complications of oral endotracheal intubation?

A

Unrecognised oesophageal insertion
Malposition
Aspiration
Hypoxia
Laryngospasm
Oropharyngeal trauma
Vagal nerve stimulation

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14
Q

When using an intubating catheter or boogie, what can indicate you are in the trachea?

A

Clicking of the tracheal rings and hold up when the boogie contacts the carina

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15
Q

How do you align the airway axes in adults and paediatrics?

A

Adults - elevate the head (“ramping”)
Older child - extension of the head
Small child - slight extension of the head
Infant - slight elevation of the shoulders

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16
Q

What are the sizes of LMA for weight groups?

A

1: Neonate 2 - 5kg
1.5: Infant 5 - 12kg
2: Small paediatric 10-25kg
2.5: Large paediatric 25-35kg
3: small adult 30-60kg
4: Medium adult 50-90kg
5: Large adult >90kg

17
Q

What are the indications for LMA?

A

Actual loss of airway patency and/or airway protection

18
Q

What are the 2 contraindications for LMA?

A

Conscious breathing patients
Continuous use for >4 hours

19
Q

What are the 5 complications of LMA insertion?

A

Failure to provide adequate airway or ventilation
Patient intolerance
Hypoxia
Can precipitate vomiting and aspiration in a patient with intact airway reflexes
Oropharyngeal trauma

20
Q

What is the mnemonic for predicting difficult airways?

A

L - look - beard, dentures, missing teeth
E - Evaluate - 3-3-2
M - Mallampati score
O - Obstruction - foreign body, tumour, vomitus, haematoma
N - neck motility - able to touch chin to chest and hyperextend head/neck

21
Q

What is the carina and where on the sternum does it lie behind?

A

The carina is where the trachea bifercates into the left and right main bronchus.
It is at the level of the angle of Louis

22
Q

How long is the trachea?

A

The trachea is 10-13cm long

23
Q

What are the landmarks for the triangle of safety?

A

Base of the axilla, lateral border of pectoralis major, anterior border of latissimus dorsi, nipple line/mammary fold.
Incision site is at 4th intercostal space anterior to the midaxilla lane

24
Q

What technique does QAS use for surgical cricothyrotomy?

A

Scalpel bougie technique

25
What is the technique for cutting the cricothyroid membrane?
SERT Stab (scalpel blade facing you) Extend towards you as far as possible Reverse Turn scalpel towards feet