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ASNSW ICP STUDY > Proceedures > Flashcards

Proceedures Flashcards

1
Q

Tracheal Suction - Complications

A
  • Hypoxia during the procedure leading to cardiac arrhythmias and fits.
  • Aggravation of acute pulmonary oedema by increasing the amount of transudation of oedemal fluid.
  • Trauma to the tracheo-bronchial mucosa.
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2
Q

Endotracheal Intubation – (ETT) sizes
6 years

A

5.5mm uncuffed

Formula (age÷4) +4

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2
Q

Endotracheal Intubation – (ETT) sizes
6 months

A

3.5mm uncuffed

Formula (age÷4) +4

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2
Q

Intragastric Tube

Contraindications

A

With suspected fractured base of skull and facial injuries, the tube must be inserted through the mouth and not the nose.

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3
Q

Intragastric Tube

Sizes

A

Adults - 14FG

Children - 12FG

Neonates - 10FG

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4
Q

Endotracheal Intubation – (ETT) sizes

Larger Males

A

9mm cuffed

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6
Q

Endotracheal Intubation – (ETT) sizes
10 years

A

6mm cuffed

Formula (age÷4) +4

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6
Q

Tracheal Suction - catheter Size
Tube 5mm

A

8FG

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7
Q

Intragastric Tube

Indication

A

Gastric distension with air or fluid eg near drowning or poorly performed EAR which can cause:

    1. Increased risk of regurgitation.
    1. Fluid absorption and consequent fluid overload.
    1. Interference with breathing or IPPV especially in children.
    1. All intubated children to receive IPPV.
    1. Continuous vomiting.
    1. Transport of neonates, spinal injuries, abdominal problems - especially by air.

I I F A C T

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8
Q

Tracheal Suction - catheter Size
Tube 4mm

A

6FG

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10
Q

Tracheal Suction - catheter Size
Tube 3mm

A

6FG

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11
Q

Tracheal Suction - catheter Size

Tube 7mm

A

12FG

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12
Q

Endotracheal Intubation – (ETT) sizes
Neonate

A

3mm uncuffed

Formula (age÷4) +4

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12
Q

Tracheal Suction - catheter Size
Tube 3.5mm

A

6FG

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12
Q

Tracheal Suction - Contraindications

A
  1. Tracheal suction should not be used in a patient with acute pulmonary oedema who has copious secretions of a watery consistency. These secretions can be clear, yellow or pink in colour.
  2. Never put a Yankauer sucker into an endotracheal tube.
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13
Q

Endotracheal Intubation – (ETT) sizes

12 years

A

7mm cuffed

Formula (age÷4) +4

15
Q

Endotracheal Intubation – (ETT) sizes

Females or small males

A

8mm cuffed

17
Q

Tracheal Suction - catheter Size
Tube 6mm

A

10FG

18
Q

Tracheal Suction - Indication

A

To remove secretions or blood from the tracheo-bronchial tree.

19
Q

Endotracheal Intubation – (ETT) sizes
8 years

A

6mm cuffed

Formula (age÷4) +4

21
Q
  • Endotracheal Intubation – Complications
A

DOTI

  1. Dislodgement/ Malposition into oesophagus,
    oro-pharynx or right main bronchus
  • Tie tube in firmly
  • Look and listen over epigastrium to exclude gastric distension and oesophageal intubation
  • Monitor end tidal CO2
  • Endobronchial, usually the right, make sure both sides of chest are being inflated by monitoring chest rise and auscultating both axillae
  • Inflation of cuff too high/ between vocal cords, causes great pain, laryngeal damage and increases potential dislodgement. Ensure cuff is positioned below larynx
  1. Obstruction
  • Mucous or blood blocking lumen
  • Kinking in pharynx
  • External pressure from biting
  • Herniation of cuff
  • Impingement of bevel on the carina or side wall of trachea
  1. Trauma
  • Lips
  • Teeth
  • Toung
  • Pharynx
  • Larynx and trachea
  • Cervical cord injury with spinal fractures
  1. Interference with physiological functions
  • Filtering
  • Warming
  • Humidifying
  • Talking
  • Coughing
  • Straining
  • Swallowing
22
Q

Endotracheal Intubation – (ETT) sizes
1 year

A

4mm uncuffed

Formula (age÷4) +4

23
Q

Endotracheal Intubation – (ETT) sizes
2 years

A

4.5mm uncuffed

Formula (age÷4) +4

24
Q

Tracheal Suction - catheter Size

Tube 8 & 9mm

A

14FG

25
Q

Endotracheal Intubation – Indication

A

Unconscious patients with either:

  • Absent cough/ gag reflex
  • Hypoventilation
26
Q

Endotracheal Intubation – (ETT) sizes

Small females and teenagers

A

7mm cuffed

27
Q

Endotracheal Intubation – (ETT) sizes
4 years

A

5mm uncuffed

Formula (age÷4) +4

ASNSW ICP STUDY (10 decks)

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