Placement of an Advanced Airway Device

Question 1

When manual airway maneuvers are unsuccessful or when continued maintenance of an open airway is necessary, the use of ____ is the next step

Answer 1

artificial airway

Question 2

_______ is the most frequently used artificial airway device

Answer 2

OPA

Question 3

OPA indications

Answer 3

1) Casualty who are unable to maintain their airway.
2) casualty whose tongue continues to fall into the back of pharynx causing airway obstruction.
3) To assist in improving ventilation in patient’s that are being ventilated with a BVM.
4)It also prevents an intubated casualty from biting an ET tube.

Question 4

OPA contraindications

Answer 4

Casualty who is conscious or semiconscious

Question 5

________ is a soft rubber or latex uncuffed tube that is designed to conform to the patient’s natural nasopharyngeal curvature.

Answer 5

Nasopharyngeal Airway (NPA).

Question 6

The NPA cannot be used if what?

Answer 6

basilar skull fracture is suspected

Question 7

How do you determine the proper length of the NPA

Answer 7

patient’s nose to the earlobe

Question 8

_____ is the preferred supraglottic airway because it makes it simpler to use and avoids the need for cuff inflation and monitoring.

Answer 8

The i-gel

Question 9

If an unconscious casualty without direct airway trauma needs an airway intervention, but does not tolerate a supraglottic airway, consider the use of what?

Answer 9

nasopharyngeal airway

Question 10

For casualties with trauma to the face and mouth, or facial burns with suspected inhalation injury, nasopharyngeal airways and supraglottic airways may not suffice what may be required?

Answer 10

surgical cricothyroidotomy

Question 11

the primary advantage of the i-gel is what?

Answer 11

No need to fill the cuff with air and no need to monitor cuff pressure after inflation and with altitude changes

Question 12

Surgical cricothyroidotomies should be not be performed on unconscious casualties who have no direct airway trauma unless what?

Answer 12

use of a nasopharyngeal airway and/or a supraglottic airway have been unsuccessful

Question 13

According to ATLS preferred definitive airway is _______ through the mouth using direct laryngoscopy

Answer 13

tracheal intubation

Question 14

Indications what what airway?
(a) Casualty who is unable to protect their airway.
(b) Casualty with significant oxygenation problem, requiring administration of high concentrations of oxygen.
(c) Casualty with significant impairment in ventilation requiring assisted ventilation.
(d) Cardiac arrest.
(e) Severe hemorrhagic shock.

Answer 14

Endotracheal Intubation

Question 15

ETI Contraindications

Answer 15

(a) Patient with epiglottitis
(b) Lack of training in technique.
(c) Lack of proper indications.
(d) Obstruction of the upper airway due to foreign objects.
(e) Cervical fracture

Question 16

ETI
_____ is the “Universally Accepted” size for an unknown victim

Answer 16

7.5 mm

Question 17

The insertion of the endotracheal tube should be no longer than _______ from the time you stop ventilating the patient until the time you remove the stylet.

Answer 17

30 seconds

Question 18

What Advanced airway device?
-is a blind insertion airway device (BIAD) often used in the pre- hospital, emergency setting.
-It consists of a cuffed, double-lumen tube that is inserted into the patient’s airway facilitating ventilation.
-It is designed to facilitate the placement of an advanced airway in a patient in respiratory distress by providers with minimal training.

Answer 18

Combitube™

Question 19

What is the main advantage of the Combitube™ over
endotracheal intubation?

Answer 19

simplicity of placement

Question 20

Indication for what airway?
(a) Ventilation in normal and abnormal airways.
(b) Failed intubation.
(c) Airway management in trapped patients.

Answer 20

Combitube™

Question 21

Combitube™ Contraindications.

Answer 21

(a) Patients with intact gag reflexes.
(b) Patients with known esophageal pathology.
(c) Used in patients under 5 feet with standard Combitube™, under 4 feet withCombitube™ SA (small adult).

Question 22

There is an established role for the ______ in the treatment of patients with difficult airways, particularly if attempts at endotracheal intubation or bag mask ventilation have failed.

Answer 22

laryngeal mask airway (LMA)

Question 23

True/False
The LMA does provide a definitive airway and proper placement of this device is easy without appropriate training.

Answer 23

FALSE
The LMA does not provide a definitive airway, and placement of this device is difficult

Question 24

Indication what what Airway?
When unable to perform endotracheal intubation and the casualty cannot be ventilated using a BVM device.

Answer 24

LMA

Question 25

LMA Contraindications

Answer 25

1) When endotracheal intubation can be performed.
2) Insufficient training

Question 26

True/False
The LMA completely prevents regurgitation and protects the trachea

Answer 26

FALSE
does not

Question 27

_______ is a supraglottic airway device with capabilities similar to those of the LMA to provide successful patient ventilation.

Answer 27

Laryngeal Tube Airway (LTA).

Question 28

True/False
The LTA is not a definitive airway device and plans to provide a definitive airway are necessary.

Answer 28

True

Question 29

True/False
The LMA and LTA indications and contraindications are the same

Answer 29

True

Question 30

The laryngeal tube may be displaced during……

Answer 30

repositioning the patient’s head and neck

Question 31

_________ involves the creation of a surgical opening in the cricothyroid membrane, which lies between the larynx (thyroid cartilage) and the cricoid cartilage.

Answer 31

Surgical Cricothyrotomy

Question 32

The primary purpose of a cricothyroidotomy is to provide an emergency breathing passage for a patient whose airway is closed by what issues?

Answer 32

(a) Traumatic injury to the neck;
(b )By burn inhalation injuries;
(c) By closing of the airway due to an allergic reaction to bee or wasp stings;
(d) Or by unconsciousness.

Question 33

Cricothyrotomy is considered what in prehospital airway management?

Answer 33

Last resort

Question 34

two basic types of cricothyroidotomy

Answer 34

-Needle Cricothyrotomy
-Surgical Cricothyrotomy

Question 35

Surgical Cricothyrotomy should never be the initial airway control method unless the patient has suffered from what?

Answer 35

C Spine injury and/or mid face injury

Question 36

Indications what what airway?
(1) Massive midface trauma precluding the use of BVM device.
(2) Inability to control the airway using less invasive maneuvers.
(3) Ongoing tracheobronchial hemorrhage

Answer 36

Cricothyrotomy

Question 37

Contraindications for Cricothyrotomy:

Answer 37

(1) Any casualty who can be safely intubated, either orally or nasally.
(2) Casualties with laryngotracheal injuries.
(3) Children under 10 years of age.
(4) Casualties with acute laryngeal disease of traumatic or infectious origin.
(5) Insufficient training

Question 38

1. A surgical cricothyroidotomy can be left in place for how long?
   2.should be replaced within that time period by a ______ performed in a higher level of care.

Answer 38

1. 24 hours
2. formal tracheotomy