Airway management Flashcards
most of glottis visible
cormach lehane grade 1
only posterior glottis visible
cormach lehane grade 2
only epiglottis
cormach lehane grade 3
no airway structures visible
cormach lehane grade 4
aspiration, near or involving upper airway, not in suping
endotracheal intubation
machintosh blade
less epiglottis bruising, more room for tube, less tooth trauma
miller blade
better exposure to glottis
difficult to intubate by direct layngoscopy
fiberoptic endotr. intubation
unstable cervical spine
fiberoptic
fiberoptic intubation needs
TIME! don’t do if no time
manage airway by using combo of
short barbs, inhaled anesthetics, muscle relaxants, O2, materials
inhales anesthetic has pleasant odor, low toxicity, fast induction and emersion
halothane
do not use halothane if pt has
CIRRHOSIS, heart dysrhythmia
very pungent, rapid induction, emergence and not associated w/ cardiac arrhythmias
isoflurane
use before succinylcholine to prevent fasiculations
D-tubocurarine