Methods of securing and maintaining the airway Flashcards

1
Q

Define normal respiration

A

It is the involuntary, unimpeded passage of air from the atmosphere to the lungs where Oxygen is exchanged for carbon dioxide.

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2
Q

What are the two openings to the human airway

A

1) Nasopharynx
2) Oropharynx

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3
Q

The epiglottis separates the oropharnx from the ______

A

Hypopharynx

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4
Q

How many cartilages make up the larynx? Group them also.

A

There are 9 cartilages that make up the larynx. They are grouped into;
PAIRED
1) Arythenoid
2) Corniculate
3) Cuneiform

UNPAIRED
1) Epiglottis
2) Cricoid
3) Thyroid

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5
Q

List the structures that make up the upper airway

A

1) Nose
2) Oral opening
3) Pharynx
4) Larynx

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6
Q

List the structures that make up the lower airway

A

1) Trachea
2) Lt and Rt principal bronchi
3) Secondary (lobar) bronchi
4) Tertiary (segmental) bronchi
5) Terminal bronchioles
6) Respiratory bronchioles
7) Alveolar sac

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7
Q

List the rationale (why, indications) for airway maintenance

A

1) Partial or complete airway obstruction
2) General anesthesia
3) Head trauma
4) Drowning
5) Choking
6) Head and neck tumors
7) Loss of consciousness

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8
Q

In airway assessment, what are the things to check for in general examination.

A

1) Shape of head or face
2) Obesity
3) Short neck
4) Huge chest mass

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9
Q

In airway assessment, what are the things to check for in specific examination.

A

1) Mouth opening
2) Upper lip bit test
3) Mallampati classification
4) Wilson score
5) Neck circumference
6) Thyromental distance
7) Sternomental distance

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10
Q

List the equipments that are needed in airways management

A

1) Airway device
2) Suction machine
3) IV access
4) Oxygen source
5) Oximetry and CO2 monitor
6) BP apparatus

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11
Q

List the 4 toes of airway device

A

1) Nasopharyngeal airway
2) Oropharyngeal airway
3) Laryngeal airway mask
4) Endotracheal tube

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12
Q

List 3 instruments that can help in airway management

A

1) Laryngoscope
2) Video laryngoscope
3) Magill forceps

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13
Q

Describe an oropharyngeal airway device

A
  • It is a rigid, kink resistant device that pushes the tongue forward and Kris the epiglottis off the posterior pharyngeal wall.
  • It is latex free
  • It does not prevent aspiration
  • It has different sizes (color coded)
  • It has a flange to limit the depth of insertion
  • It has a reinforced bite block
  • It has a tapered end which gets to reduce oropharyngeal mucosa trauma during insertion
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14
Q

What are the 4 tires types of laryngeal mask airway (LMA)?

A

1) Typical LMA
2) LMA ProSeal
3) I-gel
4) Intubating LMA

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15
Q

What are the indicators for the use of LMA

A

1) Difficult intubation
2) Failed intubation

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16
Q

What are the contraindications for use of LMA

A

1) Full stomach
2) Resuscitation

NB:- this is because it does not prevent aspiration

17
Q

What is the most protective device used in airway management

A

Endotracheal tube (ET Tube)

18
Q

What are the instruments needed for ET Tube insertion?

A

1) Laryngoscope blade and handle
2) Suction apparatus
3) Stethoscope
4) Large sized syringe for inflation of cuff

19
Q

Which position is the patient placed in during ET Tube insertion?

A

Sniffing position

Flexion of the cervical spine
Extension of the atlanto-occipital joint