chapter 11 - airway management Flashcards
The upper tract or the passage above the larynx, which includes the nose, mouth and throat
Airway
A side-lying position used to maintain a clear airway in unresponsive patients who are breathing adequately and do not have suspected injuries to the spine, hips or pelvis
recovery position
Improper placement of an advanced airway device into the esophagus rather than into the trachea
esophageal intubation
A liquid protein substance that coats the alveoli in the lungs, decreases alveolar surface tension, and keeps the alveoli expanded
surfactant
Visualization of the airway with a laryngoscope
direct laryngoscopy
Visualization of the vocal chords, and thereby placement of the endotracheal tube, that is facilitated by use of a video camera and monitor
video laryngoscopy
The exchange of air between the lungs and the environment
ventilation
Thin membrane that covers the lungs
visceral pleura
Movements in which the skin pulls in around the ribs during inspiration
retractions
Technique to open the airway by placing the fingers behind the angle of the jaw and bringing the jaw forward; used for patients who may have a cervical spine injury
jaw-thrust maneuver
The biochemical processes that result in production of energy from nutrients within the cells
metabolism
The process of delivering oxygen to the blood by diffusion from the alveoli following inhalation into the lungs
oxygenation
The space in between the vocal chords that is the narrowest portion of the adult’s airway; also called the glottic opening
glottis
A technique in which oxygen administered via a high-flow nasal cannula is left in place during an intubation attempt, allowing for continuous oxygen delivery into the airways during all phases of the procedure
apneic oxygenation
Irregular, ineffective respirations that may or may not have an identifiable pattern
ataxic respirations
The amount of air (in milliliters) that is moved into or out of the lungs during one breath
tidal volume
The process of exchanging oxygen and carbon dioxide
respiration
A harsh, high-pitched respiratory sound, generally heard during inspiration, that is caused by partial blockage or narrowing of the upper airway
stridor
The volume of air that reaches the alveoli. It is determined by subtracting the amount of dead space air from the tidal volume
alveolar ventilation
A system established for portable cylinders to ensure that a regulator is not connected to a cylinder containing the wrong type of gas
pin-indexing system
An accumulation of air or gas in the pleural cavity
pneumothorax
The part of the pharynx that lies above the level of the roof of the mouth, or palate
nasopharynx
A hollow, cylindrical device used to remove fluid from the patient’s airway
suction catheter
The two nerves that innervate the diaphragm; necessary for adequate breathing to occur
phrenic nerves
The process of providing oxygen, often in combination with ventilation, prior to intubation in order to raise the oxygen levels of body tissues; a critical step in advanced airway management
preoxygenation
The amount of air that can be forcibly expelled from the lungs after breathing in as deeply as possible
vital capacity
Airway adjunct inserted into the mouth of an unresponsive patient to keep the tongue from blocking the upper airway and to facilitate suctioning the airway, if necessary
oropharyngeal airway
A protective item, such as a pocket mask with a valve, that limits exposure to a patient’s body fluids
barrier device
Bypassing of oxygen-poor blood past nonfunctional alveoli to the left side of the heart
intrapulmonary shunting
The use of muscles of the chest, back and abdomen to assist in expanding the chest
labored breathing
A safety system for large oxygen cylinders, designed to prevent the accidental attachment of a regulator to a cylinder containing the wrong type of gas
American Standard Safety System
Metabolism that takes place in the absence of oxygen; the main by-product is lactic acid
anaerobic metabolism
The volume of air moved through the lungs in 1 minute minus the dead space
alveolar minute volume
The amount of carbon dioxide present at the end of an exhaled breath
end-tidal CO2
A device with a one-way valve and a face mask attached to a ventilation bag
bag-mask device
Occurs when a foreign body partially obstructs the patient’s airway
mild airway obstruction