Airway Adjuncts

Question 1

When to use a bougie?

Answer 1

Grade 2b or more

Question 2

Bougie accommodates what size tube?

Answer 2

> 5.5

Question 3

What is the most important airway skill?

Answer 3

Mask ventilation

Question 4

LMA Fastrach is used for?

Answer 4

Intubation through - not for everyday use!

Question 5

Supraglottic Air-Q is used for?

Answer 5

Can be used for whole case or to intubate through

Question 6

Seldinger technique intubating through supraglottic airway - what can you use?

Answer 6

Aintree - no oxygen for longer period of time
Arndt Airway exchange - has airway adaptor so you can oxygenate while intubating - floppy end goes into suction port & thread

Question 7

Indications for surgical airway?

Answer 7

Can not intubate, ventilate, wake up, supraglottic has failed, clinically significant hypoxia

Question 8

IV Catheter/jet ventilation surgical airway?

Answer 8

Access site into cricothyroid ligament, air contrast technique (advance and aspirate until you get bubbles), slide angiocath in& jet ventilate - lot of pressure for small flows. Enk flow modulator allows for passive exhalation & lower flows

Question 9

Complications of surgical airway with angiocath

Answer 9

Low flow, px of tissue/organ, hemorrhage, subq emphysema, baro/volutrauma, low success rate

Question 10

Anterograde vs retrogade surgical airway

Answer 10

Anterograde - melker kit, air contrast technique, wire guided, smaller than trach. Retrograde - air contrast but aim up toward mouth, wire comes out through mouth, clamp wire at neck, guide OET over wireto intubate