Airway Management

Question 1

What are the Funtions of the Respiratory system?

Answer 1

STRIPED
Speech
Traps and dissolves blood clots
Regulates blood PH
Influences arterial conc of chemical messgers
Provides o2
Eliminates Co2
Defends against micro organisms

Question 2

What are the indications for intubation?

Answer 2

PDP BATTS
Patient looses protective airway reflexes
Delivery of High flow o2
Prolonged management of cardiac arrest

Basic techniques not working
A need to ensure adequecy of ventilations
To provide IPPV/PEEP
To allow for effective CPR
Suctioning of bronchial secretions

Question 3

What are the contraindications of intubation?

Answer 3

TCP CUBE
Trismus (clenched teeth)
Croup
Patient is able to maintain their own airway.
Carcinoma of the upper respiratory tract
Unable to perform within 20 secs.
Basic techniques are working.
Epiglottitis

Question 4

Equipment for intubation

Answer 4

20 MESSY BOLLOCKS
20 ml syringe
Magill forceps
ET Tubes (range of sizes)
Stethescope
Securing tape
Yankeur and Suction
BVM & Blanket
O2
Laryngoscope and spare batteries
Laryngoscope Blades (range of sizes)
OPA
Catheter Mount and CO2 monitor
KY jelly
Stylet/Bougie

Question 5

What are the Potential problems for intubation?

Answer 5

BVF CULPRITS
Burns to the airway(early intubation recmd)
Vomiting/regurgatation
Facial Trauma
C-spine Abnormalities (flexion restricted).
Upper incisers prominant.
Long narrow mouth and high arched palate.
Patient resists
Receeding lower jaw
Insecure upper teeth.
Trismis
Short muscular neck.

Question 6

Intubation Problems

Answer 6

I LOOK PISTE
Intubation of the right main bronchus.
Laryngeal Spasm.
Occlusion of the cuff against the carina.
Oesophageal Intubation.
Kinking of the tube.
Potentially occlusive reducing airway.
Induced Bradycardia/ Inability to perform.
Slipping of the tube.
Tube blocked with blood or vomit.
Equipment Failure

Question 7

How can you assess the airway?

Answer 7

LEMON
Look.
Evaluate. (fingers 3,3,2)
Mallampati.
Obstruction.
Neck Mobility.

Question 8

What are the element of the mallampati?

Answer 8

Class 1 Full visibility of tonsils uvula,soft palate
Class 2 Hard and soft palate, upper portion of tonsils and uvula visible
Class 3 Hard and soft palate, base of uvula
Class 4 Only hard palate visible.

Question 9

What are the normal ETT sizes

Answer 9

Adult Male 8 - 8.5
Female 7 - 7.5
Paed Age/4 + 4

Question 10

What are the classes for Mallampati?

Answer 10

Class1 Full visibility of tonsil uvula and soft palate.
Class 2 Hard and soft palate, upper portions of the tonsils and uvula visible.
Class3 Hard and soft palate, base of uvula visible.
Class 4 Only hard palate visible

Question 11

What are the normal ETT sizes

Answer 11

Adult Male 8 - 8.5
Female 7 - 7.5
Paed Age/4 + 4

Question 12

What are the classes for Mallampati?

Answer 12

Class1 Full visibility of tonsil uvula and soft palate.
Class 2 Hard and soft palate, upper portions of the tonsils and uvula visible.
Class3 Hard and soft palate, base of uvula visible.
Class 4 Only hard palate visible