Airway Management

Question 1

What are three intubation criteria to consider?

Answer 1

1) Patent Airway
2) Failure to oxygenate or ventilate
3) Expected clinical course

Question 2

What makes a patient an RSI candidate?

Answer 2

1) Requires sedation
2) Do not anticipate a difficult airway
3) You expect to be able to ventilate

Entire goal is to prevent regurgitation

Question 3

What is the induction dose for etomidate?

Answer 3

0.1-0.3mg/kg

Question 4

How long does etomidate sedate for?

Answer 4

100 seconds / 0.1mg/kg

If you are giving 0.3mg/kg dose you will have ~300 seconds of sedation which is ~5min.

Question 5

What is the most hemodynamically stable induction agent?

Answer 5

Etomidate. Will not effect rate or pressure.

Question 6

What is the induction dose for ketamine?

Answer 6

0.5-2.0mg/kg

Question 7

Who should you not give Succinylcholine to?

Answer 7

1) Hyperkalemic patients
2) Narrow angle glaucoma
3) Children < 8yo
4) Open/penetrating eye injury
5) Hx of malignant hyperthermia
6) Major burns or crush injuries
7) Musculoskeletal / Neuro disorders

Question 8

What are the signs of malignant hyperthermia?

Answer 8

1) Increasing EtCO2 that will not correct
2) Tachycardia, arythemias, muscle rigidity, increasing temp, DIC

Question 9

How of you treat malignant hyperthermia?

Answer 9

1) Increase vent F to blow of CO2 and maximize FiO2
2) Dantrolene 2.5mg/kg (repeat up to 10mg/kg) or 1x vial of Ryanodex
3) Aggressively cool

Question 10

What is the duration time of Rocuronium?

Answer 10

30-120 minutes

Question 11

After paralytic induction, how often and what dose should you give to maintain paralysis?

Answer 11

q40 minutes and 1/4 of the induction dose