Anesthesia Equipment Part II (Ericksen) Exam 2 Flashcards
What is the Shikani Optical Stylet made of?
A. Plastic
B. Aluminum
C. Stainless steel
D. Carbon fiber
C. Stainless steel
What feature does the Shikani Optical Stylet have at its distal end?
A. Rigid tip
B. Blunt distal tip
C. Unflexible distal tip
D. Malleable distal tip
D. Malleable distal tip
Design utilizes eye piece
For what purpose does the Shikani Optical Stylet have an oxygen port?
A. For inflating a balloon
B. For oxygen insufflation if the patient desaturates
C. For oxygen and suctioning secretions
D. For medication delivery
B. For oxygen insufflation if the patient desaturates
In what position should the Shikani Optical Stylet be inserted?
A. Head-down position, inserted midline
B. Neutral position, inserted midline
C. Extended position, inserted midline
D. Flexed neck position, inserted midline
B. Neutral position, inserted midline
Available in adult and peds sizes
The Shikani Optical Stylet is advanced into the ______ with light pressure and the tip kept ______ at all times to avoid injury.
A. trachea; anterior
B. esophagus; posterior
C. trachea; posterior
D. esophagus; anterior
A. trachea; anterior
The Shikani Optical Stylet can be used for which of the following purposes? (Select 3)
A. As a light wand
B. To check ETT placement
C. For suctioning secretions
D. For placement of double-lumen ETT
A. As a light wand
B. To check ETT placement
D. For placement of double-lumen ETT
Which of the following is an advantage of using an optical stylet?
A. It is difficult to use for routine intubations.
B. Trachea is visualized, decreasing the risk of esophageal intubation.
C. It results in increased c-spine movement compared to conventional laryngoscopy.
D. It can be used for nasal intubation.
B. Trachea is visualized, decreasing the risk of esophageal intubation.
Advantages
* Easy to use for routine and difficult intubations –* not hard to use*
* Trachea is visualized, esophageal intubation should not occur (reduced risk)
* Decreased incidence of sore throat –one shot and done and you’re in
* Results in less c-spine movement over conventional laryngoscopy
What is one of the disadvantages of using an optical stylet?
A. It has a decreased incidence of sore throat.
B. It can be adjusted into a precise direction like a traditional malleable stylet.
C. It cannot be used with nasal intubation.
D. It is always faster to use compared to conventional methods.
C. It cannot be used with nasal intubation.
Disadvantages
* Longer intubation time – depends on familiarity with it
* Cannot be used with nasal intubation -
* Cannot be adjusted into a precise direction compared to a traditional malleable stylet
* Only distal portion is malleable
Video laryngoscopes such as Glidescope, Co-Pilot, King, and McGrath are considered ______ because you can have your own.
A. expensive
B. unreliable
C. cheap
D. complex
C. cheap
You can buy your own
True or False
Some scopes have curved/straight blades to mimic laryngoscopes
True
mimic miller and mac blades and can even have an exaggerated curve
One advantage of video laryngoscopes is that they provide ______ anatomy.
A. unclear
B. minimized
C. magnified
D. obscured
C. magnified
Operater and assitant can see
Video laryngoscopes may result in decreased ______ movement because the head does not have to be adjusted as much.
A. arm
B. jaw
C. L-spine
D. c-spine
D. c-spine
A limitation of video laryngoscopes is that they require a ______ system, which needs to be charged or powered by batteries.
A. video
B. manual
C. hydraulic
D. pneumatic
A. video
Portability varies, but most you can pick up and go
The strongest predictors of failure for video laryngoscopes are altered neck anatomy due to the presence of a ______ scar, radiation changes, or mass.
A. surgical
B. accidental
C. cosmetic
D. birth
A. surgical
Why might video laryngoscopes be beneficial in legal cases?
A. They are cheaper than traditional methods
B. They require less training to use
C. They demonstrate correct technique
D. They do not cause OR fires
C. They demonstrate correct technique
Video laryngoscopes might result in a further distance from ______ patients.
A. non-infectious
B. infectious
C. healthy
D. pediatric
B. infectious
Dental injury is the most frequent ______-related claim.
A. surgical
B. dental
C. medical
D. anesthesia
D. anesthesia
The most likely teeth to be damaged during laryngoscopy are the ______.
A. molars
B. canines
C. upper incisors
D. wisdom teeth
C. upper incisors
Restored or weakened teeth
Ask if their teeth are their own/real. People will sue you…..no tooth gets left behind
Tooth protectors are a “reminder” to be aware of ______.
A. the gums
B. the throat
C. the teeth
D. the hard palate
C. teeth
*Placed on upper teeth during direct laryngoscopy. *
Tooth protectors protect from the blade causing ______ damage.
A. surface
B. internal
C. lateral
D. severe
A. surface
What do tooth protectors not guarantee safety from?
A. Superficial damage
B. Dental trauma
C. Infection
D. Laryngospasm
B. Dental trauma
Help you be more vigilant. Help avoid pinching teeth with the laryngoscope blade
Cervical spinal cord injury can occur due to ______ head positioning.
A. passive
B. aggressive
C. careful
D. neutral
B. aggressive
If the head doesn’t extend.. it doesn’t extend. Won’t magically open up after induction. Don’t force extension
CHECK ROM in pre-op
Manual in-line stabilization is considered better than having a ______ in place.
A. headrest
B. neck brace
C. C-collar
D. pillow
C. C-collar
Do not remove the collar. Let the neuro surgeon remove it and do the manual in-line stabilization
DOCUMENT what has happened
Damage to other structures in the oral cavity can include abrasions or hematomas, often when the ______ gets pinched.
A. tongue
B. lower lip
C. upper lip
D. cheek
C. upper lip
sometimes lips/mouth is dry and it can get pinched between the teeth and blade