Direct Laryngoscopy Flashcards

1
Q

What is the Lemon score?

A

L = Look externally (face trauma, large incisors etc.)
E = Evaluate 3-3-2 rule
M = Mallampati score
O = Obstruction
N = Neck mobility

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2
Q

What is the 3-3-2 rule?

A

1.) Incisor distance >3 fingers
2.) Hyoid-mental >3 fingers
3.) Thyroid-Hyoid >2 fingers

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3
Q

Class I Mallampati

A

Complete visualization of the soft palate, uvula, fauces, and pillars

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4
Q

Class II Mallampati

A

Complete visualization of the soft palate, uvula, and fauces

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5
Q

Class III Mallampati

A

Only a partial view of the soft palate and uvula

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6
Q

Class IIII Mallampati

A

The soft palate is not visible

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7
Q

Conditions of Mallampati score

A

1.) Patient cooperation
2.) Must be sitting upright
3.) Open mouth as much as you can
4.) Stick tongue out at you

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8
Q

Pierre Robin Syndrome

A

Underdeveloped jaw, backward displacement of tongue and upper airway obstruction

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9
Q

Goldenhar Syndrome

A

Incomplete development of bones in the face affecting the ears, nose, soft palate, lips, and jaw. Typically only on one side

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10
Q

Treacher Collins Syndrome

A

Genetic condition affecting the way the face develops - especially cheekbones, jaws, ears, and eyelids. Small jaw and chin

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11
Q

Epiglottitis

A

Inflammation and swelling of the epiglottis

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12
Q

Abscess/Ludwigs angina

A

bacterial infection that occurs in the floor of the mouth, under the tongue

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13
Q

Goiter

A

enlarged thyroid gland due to iodine deficiencies

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14
Q

Sensitivity

A

Prediction of a positive assessment

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15
Q

Specificity

A

Prediction of a negative assessment

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16
Q

Cormack-Lehane Grade I

A

Full view of the glottis (epiglottis, vocal cords, and arytenoids)

17
Q

Cormack-Lehane Grade II

A

Part of the vocal cords are visible

18
Q

Cormack-Lehane Grade III

A

Only the epiglottis and posterior portion of arytenoids are visible

19
Q

Cormack-Lehane Grade IV

A

No glottis structure is visible

20
Q

Macintosh Blade

A

Curved blade goes into valeculla. Less likely to damage teeth

21
Q

Miller Blade

A

straight blade goes under epiglottis

22
Q

Securing the ETT

A

Courtesy tabs, taped low to mouth, avoid vermillion border (lips), and clean skin of sweat/dirt prior (Marisol to help stick)

23
Q

How do we know if the ETT is in the trachea?

A

Capnography. Sustained CO2. This is the gold standard.

24
Q

What does Ramping do?

A

Positions the patient in a forced sniffing position and aligns the three axis