Airway management Flashcards

1
Q

signs of airway obstruction

A
snoring 
stridor 
gurgling 
hoarse voice 
paradoxical movement / seesaw chest
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2
Q

what is the easiest way to assess the airway

A

talk to the patient

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3
Q

if GCS<8 what does this suggest

A

airway is compromised

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4
Q

causes of airway obstruction

A

tongue
vomit / secretions
foreign body
angioedema

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5
Q

initial management of airway obstruction

A
head tilt, chin lift
jaw thrust (protrude the jaw to give an underbite)
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6
Q

when would you do a jaw thrust instead of head tilt chin lift

A

suspected c-spine injury

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7
Q

what are adjuncts

A

OPA/guedel

NPA

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8
Q

how do you measure an OPA

A

from incisors to angle of mandible

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9
Q

how do you insert an OPA

A

backwards, then as you insert it, twist it into position

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10
Q

which is better tolerated, NPA or OPA

A

NPA

you can insert 2 of these

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11
Q

how should you approach a BOS# with NPA

A

it is very unlikely that the NPA would enter the break in skull
but if you were to insert an NPA, do so extremely carefully

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12
Q

what is an iGel

A

type of supraglottic airway (SGA/LMA)

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13
Q

how do you insert an iGel

A

hold it like a pencil and insert along the hard palate

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14
Q

how can you check the SGA is working (3 things)

A

misting of the mask
chest movements
square waves on capnography

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15
Q

can anyone insert an ETT

A

NO

only those with special training

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16
Q

how can you insert an ETT

A

need to use a laryngoscope

must ensure ETT does not enter the oesophagus

17
Q

in a patient who is not breathing at all, what do you use

A

tight seal mask and an airbag
hold the mask down with 2 hands whilst doing a jaw thrust to form the tight seal
another person should squeeze the airbag

18
Q

what are the different ways of delivering O2

A

nasal cannula
hudson mask
venturi mask - delivers precise FiO2
Non-rebreather mask for emergency - 15ml/min