Airway

Question 1

Contraindications for triple airway manoeuvre (1)

Answer 1

Injury or anatomy preventing safe application

Question 2

Precautions for triple airway manoeuvre (2)

Answer 2

Spinally immobilised pt

Children and infants may require modified positioning

Question 3

Indication for triple airway manoeuvre

Answer 3

Or requiring airway management

Question 4

Indications for OPA (2)

Answer 4

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

Question 5

Contraindications for OPA (3)

Answer 5

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

Question 6

Precautions for OPA (3)

Answer 6

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

Question 7

What points are used to measure up an OPA?

Answer 7

Angle of the jaw to the middle of the incisor

Question 8

Indication for NPA

Answer 8

Unconscious pt with trismus

Question 9

Contraindications for NPA (3)

Answer 9

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

Question 10

NPA precautions (2)

Answer 10

Basal skull fractures and CSF leaking from ears/nares

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

Question 11

What points are used to measure an NPA?

Answer 11

Corner of the nose to the earlobe

Question 12

Indications for PEEP (2)

Answer 12

Consider in all adults being ventilated with cardiac output

All neonates being ventilated

Question 13

Contraindications for PEEP (3)

Answer 13

TPT
All paeds
Adult pts in cardiac arrest

Question 14

Precautions for PEEP (3)

Answer 14

Hypovolaemia
Elevated ICP
Right ventricular failure

Question 15

Indication for magill’s forceps

Answer 15

Foreign body airway obstruction with altered conscious state

Question 16

Indication for laryngoscopy

Answer 16

Altered conscious state, without gag reflex, requiring airway inspection

Question 17

Precautions for laryngoscopy (2)

Answer 17

Epiglottitis

Group

Question 18

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

Answer 18

Right side

Question 19

Contraindications for igel (4)

Answer 19

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

Question 20

Precautions for Igel

Answer 20

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

Question 21

How do you assess adequate airway opening for igel?

Answer 21

Pull down lower jaw to see if 3 finger breadth possible

Question 22

igel size for small adult 30-60kg

Answer 22

3 yellow

Question 23

igel size for normal adult 50-90kg

Answer 23

4 green

Question 24

igel size for large adult 90+kg

Answer 24

5 orange

Question 25

What size orogastric tube for size 5 igel?

Answer 25

14

Question 26

What size orogastric tube for size 3 and 4 igel

Answer 26

12

Question 27

Indication for lateral position

Answer 27

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

Question 28

Contraindications for lateral position (2)

Answer 28

Cardiac arrest | Requiring further airway inspection or management

Question 29

Precautions for lateral position (3)

Answer 29

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

Question 30

Indication for suction

Answer 30

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

Question 31

Precautions for suction (3)

Answer 31

Croup Epiglottitis Upper airway obstruction

Question 32

How long should you suction for?

Answer 32

5 seconds at a time

Question 33

In what order do you set up the BVM?

Answer 33

``` Face mask Capnography Liquorice stick Bacterial filter BVM Demand oxygen ```