Airway Management (Ch. 11) Flashcards
Aerobic metabolism
Metabolism that can proceed only in the presence of oxygen
Aerosol- generating procedure
Any airway manipulation that induces the production of aerosols that may present a risk for airborne transmission of pathogens; such as a CPR.
Atonal gasps
Abnormal breathing pattern characterized by slow, gasping breaths, sometimes seen in patients in cardiac arrest.
Airway
The upper airway tract or the passage ABOVE the larynx, which includes the nose, mouth, and throat.
Alveolar Minute Volume
The volume of air moved through the lungs in 1 minute minus the dead space; calculated by multiplying tidal volume (minus dead space0 and respiratory rate.
Alveolar Ventilation
The volume of air that reaches the alveoli, it is determined by subtracting the amount of dead space air from the tidal volume.
Anaerobic metabolism
The metabolism that takes place in the absence of oxygen; the main by-product is lactic acid.
Apnea
The absence of spontaneous breathing
Apneic oxygenation
A technique in which oxygen administered via a high-flow nasal cannula is left in place during intubation attempt, allowing for continuous oxygen delivery into the airways during all phases of the procedure.
Aspiration
In the context of the airway, the introduction of vomitus or other foreign material into the lungs.
Ataxic respirations
Irregular, ineffective respirations that may or may not have an identifiable pattern.
Bag-mask device
A device with a one-way valve and a face mast attached to a ventilation bag; when attached to a reservoir and connected to oxygen, it delivers more than 90% supplemental oxygen.
Barrier device
A protective item, such as a pocket mask with a valve, that limits exposure to a patient’s body fluids.
Bronchioles
Subdivision of the smaller bronchi in the lungs; made of smooth muscle and dilate or constrict in response to various stimuli.
Capnography
A noninvasive method to quickly and efficiently provide information on a patient’s ventilatory status, circulation, and metabolism. It effectively measures the concentration of carbon dioxide in expired air over time.
Capnometry
The use of a capnometer, a device that measures the amount of expired carbon dioxide.
Carina
Point at which the trachea bifurcates into the left and right main stem bronchi
Chemoreceptors
Monitors the levels of oxygen, carbon dioxide, and pH of the cerebrospinal fluid and then provide feedback to the respiratory centers to modify the rate and depth of breathing based on the body’s needs at any given time.
Cheyne-Stokes respirations
A cyclical pattern of abnormal breathing that increases and then decreases in rate and depth, followed by a period of apnea.
Compliance
The ability of the alveoli to expand when air is drawn in during inhalation
Continuous Positive Airway Pressure (CPAP)
A method of ventilation used primarily in the treatment of critically ill patients with respiratory distress, can prevent the need for endotracheal intubation
Dead space
Any portion of the airway that does contain air and cannot participate in gas exchange, such as the trachea and bronchi.
Diffusion
Movement of a gas from an area of higher concentration to an are of lower concentration.
Dyspnea
Shortness of breath
Endotracheal (ET) Intubation
Insertion of an ET tube directly through the larynx between the vocal cords and into the trachea to maintain and protect an airway.
End-Tidal CO2
The amount of carbon dioxide present at the end of an exhaled breath.
Esophageal intubation
improper placement of an advanced airway device into the esophagus rather than the trachea
Exhalation
the passive part of the breathing process in which the diaphragm and the intercostal muscles relax, forcing air out of the lungs
external respiration
the exchange of gases between the lungs and the blood cells in the pulmonary capillaries; also called pulmonary respiration
gag reflex
a normal reflex mechanism that causes retching; activated by touching the soft palate or the back of the throat.
gastric distension
a condition in which air fills the stomach, often as a result of high volume and pressure during artificial ventilation.
glottis
the space between the vocal cords that is the narrowest portion of the adult’s airway; also called the glottic opening.