Lecture 3/10 Flashcards
True or false: Laryngeal mask airways protect against aspiration and laryngospasm
FALSE
What’s the most common cause of airway obstruction?
The tongue falling against the posterior pharynx
How is an oral airway measured?
from the corner of the mouth to the tip of the ear
What are some contraindications for use of a nasal airway?
”- Bleeding d/o, anticoagulated, antiplatelet agents
- Base of skull fracture
- Nasal fracture
- Previous nasal surgery
- Previous cleft palate repair
- Sinusitis”
What do you hold with your left hand?
A laryngoscope! What were you thinking????
What is the proper position of the ET tube after intubation?
”- Cuff should be completely distal to cords
- Tip of tube should be at least 2 cm above the carina”
How do you verify proper tube placement?
”- Symmetic chest movement
- Bilateral and symmetric breath sounds
- Tube fogging
- ETCO2 (>30 for 3-5 breaths)”
Why use an RSI?
”- Trauma
- Full stomach/emergency surgery
- Delayed gastric emptying due to pregancy, bowel obstruction, pain, diabetes”
What are the basic steps of an RSI?
”- Monitors
- Denitrogenate (8 full breaths of 100% O2)
- Induction drug (cricoid pressure too)
- Neuromuscular blocking drug follows immediately after induction
- Intubation
- Vent once ET is in place”
How long before paralysis occurs after sux?
45 seconds
How long before paralysis occurs after Rocuronium?
60 seconds
What should you not do during RSI?
Ventilate the patient. Inflation of the stomach could lead to regurgitation and aspiration. This lack of ventilation makes RSI unique
