Intubation and difficult airway

Question 1

Difficulty in Airway Management (3):

Answer 1

• micrognathia (undersized jaw)
• macroglossia (enlarged tongue)
• acromegaly (excessive growth hormone leading to deformities)

Question 2

Airway assessment: Mneumonic

Answer 2

L: Look externally
E: Evaluate 3-3-2 rule
M: Mallampati Score
O: Obstruction
N: Neck Mobility

Question 3

Predictor of a difficult bag-valve-mask:

Answer 3

M: Mask seal inadequate (beard, facial deformity)
O: Obesity (difficult to ventilate), 3rd trimester pregnancy, or obstruction (neck sweling, angioedema, hematomas, cancer)
A: Age, elderly, loss of muscle tone to support the upper airway
N: No teeth
S: stiff lungs- upper airway obstruction-exacerbation of asthma, COPD

Question 4

Predictor of a difficult crithyrodotomy:

Answer 4

S: Surgery or disrupted airway
H: Hematoma or infection
O: Obesity
R: radiation
T: tumor

Question 5

Absolute contraindications for nasal intubation (2):

Answer 5

1. CSF rhinorrhea

2. other evidence of basilar Skull fracture