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Interventions 2 (RESP 319) > Mod 5 Airway Managment > Flashcards

Mod 5 Airway Managment Flashcards

1
Q

When should a alternative airway be considered in neonates?

A

ETT and Laryngeal tubes improve ventilation efficacy and ease of assisted ventilation

  • If PPV w/face mask does not improve after a few mins.
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2
Q

What are the PROS of using a endotracheal tube (ETT) and when would you use it?

A

Provides reliable airway access for/when:

  • Stablization of a newborn w/diaphragmatic hernia
  • Surfactant admin
  • Direct tracheal suction if airway obstructed

AND

  • If Chest compressions are necessary
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3
Q

Airway anatomy: label the following figure

A
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4
Q

Airway Anatomy: List the following diagram for the glottis

A
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5
Q

Airway Anatomy: List the following diagram for the glottis

A
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6
Q

What size Laryngoscope blade would you select for a term newborn?

A

1

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7
Q

What size Laryngoscope blade would you select for a preterm newborn?

A

0

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8
Q

What size Laryngoscope blade would you select for a very preterm newborn?

A

00

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9
Q

What criteria is used for selecting a endotracheal tube (ETT) sized at 2.5 mm ID?

A

Weight < 1000 g’s

Gestational age < 28 weeks

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10
Q

What criteria is used for selecting a endotracheal tube (ETT) sized at 3.0 mm ID?

A

Weight = 1000-2000 g’s

Gestational age = 28-34 weeks

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11
Q

What criteria is used for selecting a endotracheal tube (ETT) sized at 3.5 mm ID?

A

Weight > 2000 g’s

Gestational age > 34 weeks

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12
Q

How long do you have for each intubation attempt?

A

30 seconds

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13
Q

which position is correct when intubating a newborn?
edit

A
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14
Q

If the tongue is obstructing the view of structures in the mouth/glottic region when intubating a neonate, what corrective action can you take?

A

Advance the blade farther

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15
Q

If the esophagus is the only visible structure in the mouth/glottic region when intubating a neonate, what corrective action can you take?

A

Withdraw the blade the blade slowly until the epiglottis and glottis are seen

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16
Q

How do you determine the insertion depth of a endotracheal tube [ETT] for neonates?

A

Estimated ETT depth = Weight in Kgs + 6

  • or follow the chart
17
Q

When assisting w/intubation, what are the things you need to do from start to finish?

A
  1. Ensure equipment function (safety checks)
  2. Ensure Pt. stable prior to intubation attempt (HR & SpO2)
  3. Ensure plan and roles establish for team (Effective bagging transitions, ETT securing, ETT assessment)
  4. Timing of intubation attempt (30 s and bag between attempts)
  5. Confirm effective ETT placement
18
Q

How can you confirm correct ETT position placement?

A
  • Audible and equal breath sounds near axillae during PPV
  • Symmetrical chest movement w/each breath
  • Little or no air leak from mouth during PPV
  • Decreased or absent air entry over the stomach
19
Q

What is the bare minimum you can check to confirm ETT placement?

A
  • color change
  • chest movement or breath sounds over chest
  • No breath sounds over the stomach
  • Maintain ventilation (check HR and SpO2)
20
Q

What should you do if ETT placement if wrong or suspected?

A
  • Communicate w/team
  • pull out and continue mask ventilation
21
Q

How do you secure ETT for newborns?

A

Tape and Neobar

22
Q

What is the suction pressure of neonates?

A

60-80 mmHg

23
Q

What suction pressures are used for large infants & children?

A

80-100 mmHg

24
Q

Absolute indications for suctioning newborns?

A
  • Secretions visible in ETT
  • Aspiration of gastrointestinal or oropharyngeal contents
  • Inadvertent water aspiration from vent. circuit
25
Q

What are some relative indications for suctioning?

A
  • Rhonchi noted during auscultation (bubbling sounds), might indicate retained secretions
  • Changes in compliances
  • Increase in WOB
  • Decrease in SpO2 w/same or increased FiO2
26
Q

What is the suction pressure of the Meconium Aspirator?

A

80-100 mmHg

27
Q

What is a meconium aspirator used for?

  • how do you operate it?
A

Used for thick secretions that may obstruct the airway.

  • Needs to be attached directly to ETT
  • Needs to occluded w/finger
28
Q

What guideline should you follow if a intubated pt suddenly deteriorates after intubation?

A

DOPE

29
Q

What are the 2 sizing options of a laryngeal mask?

A

1500 and 2000gs

30
Q

Pediatric intubation guidelines?

A

Same as adults.

  • sizing will dependant on the where the child fits on the Broselow tape

Interventions 2 (RESP 319) (25 decks)

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