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CPGs Cass > Airway > Flashcards

Airway Flashcards

1
Q

Contraindications for triple airway manoeuvre (1)

A

Injury or anatomy preventing safe application

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2
Q

Precautions for triple airway manoeuvre (2)

A

Spinally immobilised pt

Children and infants may require modified positioning

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3
Q

Indication for triple airway manoeuvre

A

Or requiring airway management

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4
Q

Indications for OPA (2)

A

Unconscious pt requiring tongue to be displaced to maintain airway latency
Bite block to support ETT placement

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5
Q

Contraindications for OPA (3)

A

Trismus
Intact gag reflex
Suspected neurological injury or concern for inducing gag reflex

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6
Q

Precautions for OPA (3)

A

Correct measurement necessary to avoid damaging soft posterior structures
Modified technique in paeds to avoid hard and soft palate trauma
Does not protect against aspiration

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7
Q

What points are used to measure up an OPA?

A

Angle of the jaw to the middle of the incisor

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8
Q

Indication for NPA

A

Unconscious pt with trismus

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9
Q

Contraindications for NPA (3)

A

Middle third facial fractures
Significant nasal trauma
Traumatic brain injury or neurological event where pt has trismus but airway is patent and tidal volume is adequate

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10
Q

NPA precautions (2)

A

Basal skull fractures and CSF leaking from ears/nares

May need to be removed during intubation as it can block view of the glottis

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11
Q

What points are used to measure an NPA?

A

Corner of the nose to the earlobe

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12
Q

Indications for PEEP (2)

A

Consider in all adults being ventilated with cardiac output

All neonates being ventilated

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13
Q

Contraindications for PEEP (3)

A

TPT
All paeds
Adult pts in cardiac arrest

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14
Q

Precautions for PEEP (3)

A

Hypovolaemia
Elevated ICP
Right ventricular failure

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15
Q

Indication for magill’s forceps

A

Foreign body airway obstruction with altered conscious state

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16
Q

Indication for laryngoscopy

A

Altered conscious state, without gag reflex, requiring airway inspection

17
Q

Precautions for laryngoscopy (2)

A

Epiglottitis

Group

18
Q

What side of the mouth do you insert the laryngoscopy in?

A

Right side

19
Q

Contraindications for igel (4)

A

Intact gag reflex or resistance to insertion
Strong jaw tone and/or trismus
Suspected epiglottitis or upper airway obstruction
Use of sedation to assist or maintain placement is contraindicated

20
Q

Precautions for Igel

A

Inability to place in sniffing position
Pts requiring high airway pressures (pregnancy, morbid obesity, pulmonary fibrosis, asthma)
Pts 14 and younger due to enlarged tonsils
Significant volume of vomit in airway
Correct placement doesn’t prevent passive regurgitation or gastric distension

21
Q

How do you assess adequate airway opening for igel?

A

Pull down lower jaw to see if 3 finger breadth possible

22
Q

igel size for small adult 30-60kg

A

3 yellow

23
Q

igel size for normal adult 50-90kg

A

4 green

24
Q

igel size for large adult 90+kg

A

5 orange

25
Q

What size orogastric tube for size 5 igel?

A

14

26
Q

What size orogastric tube for size 3 and 4 igel

A

12

27
Q

Indication for lateral position

A

Altered conscious state where lateral position is safest to ensure no airway compromise

28
Q

Contraindications for lateral position (2)

A

Cardiac arrest

Requiring further airway inspection or management

29
Q

Precautions for lateral position (3)

A

Pts with intact gag reflex or is adequately supported with OPA/NPA
Spinal cold/column injury should have in line stabilisation maintained while lateral
Potential for needle stick injuries when checking pockets

30
Q

Indication for suction

A

Altered conscious state and unable to protect their airway from secretions, vomit, blood

31
Q

Precautions for suction (3)

A

Croup
Epiglottitis
Upper airway obstruction

32
Q

How long should you suction for?

A

5 seconds at a time

33
Q

In what order do you set up the BVM?

A 
Face mask
Capnography
Liquorice stick
Bacterial filter
BVM
Demand oxygen

CPGs Cass (16 decks)

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