Airway

Question 1

LEMON

Answer 1

Look, Evaluate, Mallampati, Obstruction, Neck Mobility

Question 2

Mallampati I

Answer 2

soft palate, uvula, anterior/posterior tonsillar pillars visible

Question 3

Mallampati II

Answer 3

tonsillar pillars hidden by tongue

Question 4

Mallamati III

Answer 4

only the base of uvula can be seen

Question 5

Mallampati IV

Answer 5

uvula cannot be seen

Question 6

BURP

Answer 6

backward, upward, rightward pressure

Question 7

Gold standard of placement of confirmation

Answer 7

2-3 cm or 1’’ above carina, around T2,T3

Question 8

Failed Airway Algorithm

Answer 8

1) secured airway algorithm
2) 3 attempts, unsuccessful
3) ventilate the patient with BVM, simple airway, blind airway
4) unable to ventilate/oxygenate SaO2 >90%
5) cricothyroidotomy indicated

Question 9

7 P’s of RSI

Answer 9

preparation
preoxygenation 
pretreatment
-LOAD 
---lidocaine opiates, atropine for infants, defasiculation dose
paralysis with induction 
protect and position
placement with proof 
post intubation management

Question 10

Contraindications for SCh, Anectine, Succs

Answer 10

crush injuries 
eye injuries 
narrow angle glaucoma 
history of malignant hyperthermia 
burns > 24 hours 
nervous system DO ie Guillain-Barre, Myasthenia Gravis

Question 11

Malignant Hyperthermia

Answer 11

defect in the skeletal muscle sarcoplasmix reticulum which causes:
masseter spasm/trismus
sustained tetanic muscle contractions
rapid increase in temperature (as high as 110 degrees)
increased ETCO2
tachycardia/HTN
Mixed Acidosis