Instruments Flashcards
1
Q
What is the absolute contraindication for use of a nasopharyngeal airway?
A
Facial injury particularly evidence of a base of skull fracture.
Racoon eyes
Battles’ sign
Haemotympanum
CSF rhinorrhoea or otorrhoea
2
Q
How do you size an oropharyngeal airway?
A
From incisors to angle of mandible
3
Q
What are the complications of a laryngeal mask airway?
A
Non-definitive so risk of leak or aspiration
It can become dislodged
Pressure necrosis from the inflated cuff.
4
Q
Which drug can you give to reduce the risk of recatherisation when attempting a TWOC after acute urinary retention?
A
Tamsulosin
5
Q
What is a definitive airway?
A
An airway that is protected from aspiration
6
Q
Suprapubic catheter
A
Indications
- urethral obstruction : BPH; prostatic Ca
- urethral injury
Method
- USS guided insertion under LA
- use of trocar
Contraindications
- patient refusal
- bladder cancer: due to risk of malignancy seeding
- unexplained haematuria
- previous lower abdominal surgery → adhesions
Complications
- Seeding malignancy
- Viscus perforation
- Haemorrhage
