Lecture 3 Intro to Airway Management Flashcards

1
Q

True or false: Laryngeal mask airways protect against aspiration and laryngospasm

A

FALSE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What’s the most common cause of airway obstruction?

A

The tongue falling against the posterior pharynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is an oral airway measured?

A

from the corner of the mouth to the tip of the ea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some contraindications for use of a nasal airway?

A
  • Bleeding d/o, anticoagulated, aniplatelet agnets
  • Base of skull fracture
  • Nasal fracture
  • Previous nasal surgery
  • Previous cleft palate repair
  • Sinusitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What hand do you hold a laryngoscope with?

A

The left hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the proper positon of the ET tube after intubation?

A
  • Cuff should be completely distal to cords

- Tip of tube should be at least 2 cm above the carina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How do you verify proper tube placement?

A
  • Symmetic chest movement
  • Bilateral and symmetric breath sounds
  • Tube fogging
  • ETCO2 (>30 for 3-5 breaths)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why use an RSI?

A
  • Trauma
  • Full stomach/emergency surgery
  • Delayed gastric emptying due to pregancy, bowel obstruction, pain, diabetes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the basic steps of an RSI?

A
  • Monitors
  • Denitrogenate (8 full breaths of 100% O2)
  • Induction drug (cricoid pressure too)
  • Neurmuscular blocking drug follows immediately after induction
  • Intubation
  • Vent once ET is in place
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How long before paralysis occurs after sux?

A

45 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How long before paralysis occurs after Rocuronium?

A

60 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What should you not do during RSI?

A

Ventilate the patient. Inflation of the stomach could lead to regurgitation and aspiration. This lack of ventilation makes RSI unique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly