Airway Management Flashcards
Surgical Cricothyrotomy
- Identify cricothyroid membrane.
- Stabilize cricoid and thyroid cartilages with nondominant hand.
- Make vertical incision (5-7 cm)
- Hook inserted to stabilize cricoid membrane. Horizontal incision made through it.
- Insert dilator
- Remove hook. Place tube through dilator. Remove dilator. Secure tube.
Cricothyrotomy Seldinger Technique
Involves use of a needle and wire
Needle Cricothyrotomy
Reserved for pediatric patient < 10 y/o
Cormack-Lehane Classification
Drug of choice for RSI that produces bronchodilaton in PT w/ reactive airway disease
Ketamine, smooth muscle relaxant
Special piece of equipment for an open Cricothyrotomy in a bariatric PT
Gum elastic bougie to assist in placement of the tracheostomy tube
Ideal TV for lung protective strategy
4-6ml/kg based off of ideal body weight.
IBW: 2.3 x every inch over 5’ + 50
I:E ratio for asthma/COPD PT
1:3 to 1:5 for obstructive airway disorders to avoid air trapping and auto-PEEP. Normal is 1:2.
Primary symptom of an infraglottic burn:
Hypoxemia not responding to high flow oxygen
MRSOPA
Mask applied tightly to face
Reposition head to “sniffing” orientation
Suction the nares/pharynx
Open the mouth
Pressure of PPV increased to a max of 40cmH2O
Alternative airway/plan
Mallampti Classes
Reversible pulmonary disorder caused by airway inflammatory response
Asthma
Additional indication for advanced airway management in critical PT?
Safe management of aggressive behavior that requires deep sedation or NMBA’s
Late indication of respiratory failure in COPD PT
PaCO2>PaO2
A PT w/ a PE has which type of V/Q pathology?
V/Q mismatch
Lung protective strategy in ARDS:
TV of 4-6ml/kg of PBW. TV limited to maintain I plateau pressure of <= 30cm H2O. RR increased to maintain pH near normal to meet minute ventilation requirements.
Beta-2 agonist used for bronchodilator?
Albuterol, epinephrine, metaproterenol, isotharine inhalation, terbutaline
Fastest acting med to manage anxiety w/ SOB w/ COPD PT
Versed
