Chapter 5 ETT

Question 1

What are some indications for an ETT? (4)

Answer 1

1. directly suction laryngeal secretions
2. need for compressions
3. suspected diaphragmatic hernia
4. prolonged PPV
   (p. 135)

Question 2

What size BLADE should be used for term and preterm babies?

Answer 2

Size 1 for term
Size 0 for preterm
Size 00 for extremely preterm
(p.124)

Question 3

What is the goal time it should take to complete intubation?

Answer 3

With in 30 seconds

Question 4

How do you determine intubation depth?

Answer 4

NTL – Naso-tragus length
Nasal septum to ear tragus in CM plus 1 CM

Question 5

At what weight is an LMA appropriate?

Answer 5

2 kg

Question 6

ETT sizing based on KGs of weight and gestational age?

Answer 6

< 1 kg–<28weeks 2.5
1-2 kg – 28-34 weeks 3
>2kg >34 weeks 3.5

Question 7

Where should you auscultate the lungs and why?

Answer 7

With a small stethoscope near the axillae
(p.136)
Central placement of the stethoscope may transmit sounds from the esophagus or stomach

Question 8

ETT Size (internal diameter) for a baby below 1 kg?

Answer 8

2.5 mm
p. 127

Question 9

ETT Size (internal diameter) for a baby 1-2 kg?

Answer 9

3.0 mm
p. 127

Question 10

ETT Size (internal diameter) for a baby > 2 kg?

Answer 10

3.5 mm
p. 127

Question 11

ETT Size (internal diameter) for a baby below 28 weeks?

Answer 11

2.5 mm
p. 127

Question 12

ETT Size (internal diameter) for a baby 28-34 weeks ?

Answer 12

3.0 mm
p. 127

Question 13

ETT Size (internal diameter) for a baby greater than 34 weeks?

Answer 13

3.5mm
p. 127

Question 14

A NB has been receiving face-mask PPV but is not improving. Despite performing the first 5 ventilation corrective steps, the HR is not rising and their is poor chest movement. What should your next step be?

Answer 14

insert an alternative airway

p. 148

Question 15

What is the recommended ETT size for a baby weighing less than1 kg?

Answer 15

2.5 mm
p. 148

Question 16

If using a stylet, the tip of the stylet (must / must not) extend beyond the ETTs end and side holes?

Answer 16

must not extend
p. 148

Question 17

The preferred laryngoscope blade size for use in a term NB is?

Answer 17

No. 1

p. 148

Question 18

You should try to take no longer than how long to complete the ETT insertion process?

Answer 18

30 seconds

p. 148

Question 19

If that babys condition worsens after endotracheal intubation, what are four possible causes?

Answer 19

1. displaced tube
2. obstructed tube
3. PNEUMOTHORAX
4. equipment failure

p. 148