Keywords Flashcards
Actions most likely to produce iatrogenic retropharyngeal abscesses
Failed NGT placement
Age for end of development in humans
7 years old
Age for peak incidence of foreign body aspiration
2-3 years old
Airway examination and evaluation of post-irradiation patients
Manual exam of larynx with swallowing
Airway management for patient with Ludwig’s angina
Nasal intubation
Airway management for patients with LeFort fractures
RSI w/ great pre oxygenation
No NAW, NETT, NGT with LeFort II
No anode ETT with LeFort III
Airway management for patients with head and neck burns
Airway latency with OETT and oxygenation
Branches of the facial nerve
Temporal Zygomatic Buccal Mandibular Cervical
The tube that links the nasopharynx to the middle ear
Eustachian tube
Tongue muscle that depresses and protrudes the tongue, stabilizes the upper airway
genioglossus
Name the structures in Waldeyer’s ring
adenoids, lingual, nasopharyngeal, and palatine tonsils
Anesthesia and airway management for tonsillar abscess drainage
GETA with short-acting IV anesthetic and sort-acting NMB and sevo or des
anode tube
Angioedema management
known case: anabolic steroids 10-14 days and FFP within 24 hours of surgery
undiagnosed: FFP asap, H1, H2, steroids
Angioedema pathophysiology
vasoactive mediators produce arteriolar dilation, venular inflammation, vascular leakage
urticaria = in dermis
angioedema = below the dermis
Ausculatory sound produced by orificial airway lesion
Stridor
Ausculatory sound produced in asthma
wheezes
Infant vs. adult epiglottis
longer, omega shape, stiffer, horizontal
Infant vs. adult glottis
C3-C4 vs. C4-C5, pursed mouth appearance
Infants vs. adult vocal cords
VC in anterior-inferior plane (horizontal) and concave
Infant vs. adult tongue
larger
Infant vs. adult larynx
funnel shape vs. cylinder
Narrowest part of airway under 7
Cricoid cartilage
Complications associated with nasotracheal intubation
epistaxis, abrasion, hemorrhage, infection, perichondritis, chondritis, sinusitis
Primary tracheostomy
tracheostomy done initially within 24 hours of intubation
Function of atlanto-occipital joint
flexion and extension of the head
Hoarseness and gender
females > males
Hoarseness associated with endotracheal intubation and general anesthesia
Spontaneous resolution in 1-3 days, FU at one week if not resolved
Causes: ETT, NGT, head-neck surgery, pt movement
Ulceration (>72 hours), granulomata (3-21 days), cicatrical (2+ weeks)
Lab measurements following parathyroidectomy
Check calcium level
Laryngectomy, ending the case
laryngectomy tube sutured to skin, pt SV
Laryngectomy, surgery
OETT; anode ETT via surgeon; breathing SV with large, patent stoma (CMV in ICU if pharyngectomy is added); cuffless laryngectomy tube sutured to skin ;once healed, trachea anatomized to skin
Laryngomalacia occurence
Most common cause of stridor in 2 year olds
No surgical repair, spontaneous resolution at 2-3 years old
Laser airway FiO2
Less than 30%
Lasers: CO2 vs. YAG
CO2: superficial tissue, no corneal damage, beam power diminished withdrawal effect
YAG: deeper tissue, corneal damage, better coagulation
Most common malignancy in upper airway
squamous cell carcinoma
management of patient with retropharyngeal abscess
OETT +/- FFOB
Topical pharyngeal anesthesia limited
Montgomery T-tube
s
