Pfeiffer - Airway Management

Question 1

Respiratory anatomy

Answer 1

• Nasopharynx - delicate turbinates (careful for nasopharyngeal)
• Oropharynx - hyoid bone
• Hypopharynx @ level of epiglottis!

Question 2

Respiratory anatomy

Answer 2

Larynx - @ cricothyroid cartilage
Cricothyoid membrane
(Hyoid&raquo_space; CT&raquo_space; crycoid)

Question 3

Importance of observation

Answer 3

.

Question 4

Describe the use of supplemental oxygen: indications

Answer 4

.

Question 5

Describe the use of supplemental oxygen: contraindications

Answer 5

.

Question 6

Describe the use of supplemental oxygen: advantages

Answer 6

.

Question 7

Describe the use of supplemental oxygen: disadvantages

Answer 7

.

Question 8

Predictors of difficulty in mask vent

Answer 8

.

Question 9

Predictors of difficulty in endotracheal intubation

Answer 9

.

Question 10

Sellick maneurver

Answer 10

.

Question 11

Essential components of airway kit

Answer 11

.

Question 12

What is the most important trauma care task?

Answer 12

Initial airway magmt

Question 13

Basic Airway Maneuvers

Answer 13

• Modified jaw thrust **do not extend the neck to open airway!
• Jaw lift
  Goal: bring posterior tongue off pharyngeal wall

Question 14

Airway adjuncts

Answer 14

• Naspharyngeal - can use in anyone
• Oropharyngeal - person must be unconscious
• Blind Insertion Airway Device
• Endotraceal intubation

Question 15

What is RSI?

Answer 15

Rapid sequence intubation - doc MUST steal the airway from the pt. BMV ventilation first

Question 16

MMAP: what is this score?

Answer 16

Mallampati Score - The higher the score, the higher degree of intubation difficulty.
1-entire tonsil or tonsillar bed visible
2-upper half of tonsil or tonsillar bed is visible
3-soft and hard palate are clearly visible.
4- only hard palate visible

Question 17

Noisy breathing is always indicative of what?

Answer 17

OBSTRUCTION of airway

i.e. firefighter

Question 18

BOOTS acronym

Answer 18

Difficult BMV ventilation.
B - beards
O - obesity
O - older patients
T - toothlessness
S - snores or stridor

Question 19

What is MMAP 3-3-1?

Answer 19

3 fingers from chin to hyoid
3 fingers in open mouth
1 finger for lower jaww protrusion

Question 20

What are three things for MMAP to know?

Answer 20

3-3-1

• Atlanto-Occiputal exstension (if spine injury not expected)
• Pathology - anatomic airway obstruction

Question 21

Advantage of BMV with reservoir bag?

Answer 21

90-100% oxygen

Question 22

Device with lowerst supplemental oxygen percentage and highest.

Answer 22

40-50% Lowerst - simple face mask

100% - FROPVD