Anesthesia Equipment Part I (Ericksen) Exam 2 Flashcards
What is one of the primary purposes of using face masks in anesthesia?
A. To administer oral medication
B. To administer gas without anything in the patient’s mouth
C. To monitor airway pressure from the mouth
D. To measure oxygen saturation
B. To allow gas administration from the breathing system without any apparatus in the patient’s mouth
Which process do face masks help with in anesthesia? Select 2
A. Denitrogenation
B. Defibrillation
C. Preoxygenation
D. Intubation
E. Ventilation
A. Denitrogenation
C. Preoxygenation
Face masks can be used for:
A. Only the beginning of an anesthetic procedure
B. Only the end of an anesthetic procedure
C. The entire anesthetic procedure
D. Only during surgical procedures
C. The entire anesthetic procedure
Ear tube surgery - 10min
Elderly patients - ear wax removal - 5min case
Non-invasive, no ETT or LMA. We are required to do these cases. Mostly in peds
True or False
Face masks provide positive airway pressure and gas movement through a patients protected airway
False. Fase masks provide positive aiway pressure and gas movement through an unprotected the airway.
Still possible to vomit and aspirate. There is nothing in the vocal cords to prevent aspiration. Patients LIE, could have eaten or full belly
How do you know if you are successfully bag masking your patient?
A. EtCO2
B. Chest rise
C. Tidal Volume
D. O2 saturation
E. No excessive gas leak
F. All the Above
F. All the Above
You should not have an excessive gas leak, having a good seal of the mask on the nose and mouth. The pneumatic cuff is there to keep that good seal
What is a characteristic of the body of the face mask?
A. Opaque and provides shape
B. Transparent and provides shape
C. Colored and rigid
D. Soft and scented
B. Transparent and provides shape
What is the function of the seal on the face mask?
A. To provide structural integrity
B. To monitor the patient’s breathing
C. To connect to the oxygen supply
D. Cushion and minimal leak
D. Inflatable cushion and have a minimal leak
The seal of the face mask is an inflatable cushion that creates a minimal leak at ________ to ________cm H₂O.
A. 15 to 20
B. 20 to 25
C. 25 to 30
D. 30 to 35
B. 20 to 25cm H₂O
There is no perfect seal, will have a leak, but ok if it is at this pressure
The connector of the face mask has a ________ mm internal diameter and a circular ring with prongs for straps.
A. 18 mm
B. 20mm
C. 22 mm
D. 25 mm
C. 22 mm
Face mask with prongs for mask straps
Face masks may have additional features such as pacifier, ________, or scent.
A. ports
B. fresh gas inlet
C. built-in filters
D. temperature sensors
A. ports - for bronchoscopy or endoscope for pulmonology
Grape scent is bad, bubblegum or cherry is good
What bag mask method is this picture demonstrating?
One-handed method
What bag mask method is this picture demonstrating?
Two handed method used for bigger face, adipose tissue or endentulous
Someone else is bagging for you
Which of the following are factors contributing to difficult mask ventilation? (Select 6)
A. Female gender
B. Male gender
C. Age over 55
D. Presence of a beard
E. Having all teeth
F. Edentulousness
G. BMI < 30 kg/m²
H. BMI > 30 kg/m²
I. OSA/snoring
B. Male gender
C. Age over 55
D. Presence of a beard - a beard
F. Edentulousness - no teeth
H. BMI > 30 kg/m²
I. OSA/snoring -sometimes pt don’t know
The presence of ________ can make mask ventilation more difficult.
A. a beard
B. clean-shaven
C. long hair
D. botox lips
A. a beard
For patients with a beard, it may be necessary to ________ the beard to improve mask ventilation.
A. style
B. braid
C. cut
D. glue
C. cut
You can also use a tegaderm and cut a hole in it where the mouth is
To overcome difficult mask ventilation, one may use an oral airway or a ________ airway.
A. pharyngeal
B. tracheal
C. nasopharyngeal
D. esophageal
C. nasopharyngeal Dr. Ericksen loves these
True or false
The two-handed technique is a way of overcoming difficult mask ventilation.
True - have someone bag for you
If traditional mask ventilation methods fail, one should refer to the ________ airway algorithm.
A. regular
B. difficult
C. standard
D. emergency
B. difficult
When do we like to use mask straps? Select 4
A. Small hands with big faces
B. Big hands with small faces
C. Endentulous faces
D. Large beards
E. Hands free while pt is SPV
F. Facial reconstruction
A. Small hands with big faces
C. Endentulous faces
D. Large beards
E. Hands free while pt is SPV
*Make sure patient is asleep or comfortable/sedated because they can be claustrophobic. *
What is the primary function of an oropharyngeal airway (OPA)? (pick 2)
A) To provide mechanical ventilation
B) To keep the tongue from blocking the upper airway
C) To keep the tonsils from blocking the upper airway
D) To keep the epiglottis from blocking the upper airway
B) To keep the tongue from blocking the upper airway
D) To keep the epiglottis from blocking the upper airway
Lifts the tongue and epiglottis away from the posterior pharyngeal wall to relieve obstruction that may occure and open up the airway
When should an oropharyngeal airway (OPA) NOT be used?
A) In an unconscious patient without a gag reflex
B) In a conscious patient
C) During resuscitation
D) In conjunction with a bag-valve mask
B) In a conscious patient
Not comfortable
True or False
You can let the PACU nurses remove the OPA when the patient is still sleeping so they don’t wake up agitated.
FALSE
When the patient is awake enough to reach up and try and remove the OPA, that shows you they can support their airway. Then you can remove the OPA
What is the correct method to measure the appropriate size of an oropharyngeal airway?
A) From the corner of the mouth to the earlobe
B) From the tip of the nose to the jawline
C) From the middle of the tongue to the back of the throat
D) From the corner of the mouth to the chin
A) From the corner of the mouth to the earlobe or to the angle of the JAW LINE
Putting a OPA that is too small is dangerous because pt can swallow it. Size appropriatley
True or False
An OPA helps decrease the work of breathing during spontaneous ventilation (SV).
True
You can place after propofol and trying to mask ventilate and you notice they are obstructing even with repositioning the head/neck. Helps facilitate masking