Pt eval in Conscious Sedation

Question 1

 A tool to gather written information about the patient’s
health
 Completed by the patient or the patient’s guardian
 Simple format which is easy to understand
 Two standard formats:
 short
 long

Answer 1

Med Hx Questionnaire

Question 2

 An opportunity to review the responses made on the written
medical questionnaire
 Obtain detailed information about specific responses
 Cross check any inconsistent responses
 Should be conducted by the person planning
and administering the anesthetic (That’s you, doctor!!)
 Gain greater insight to the magnitude of the problem
 Identifies treatment risk

Answer 2

Patient interview

Question 3

What classification is used to determine airway?

Answer 3

Mallampati

Question 4

Mallampati class ____
Wide open airway

Answer 4

Class 1

Question 5

Mallampati class ____
Very narrowed airway

Answer 5

Class 4

Question 6

What is the most important part of IV sedation is _______

Answer 6

Suction

Question 7

Rigid smooth plastic
Anatomically shaped
Multiple suction ports
Controlled suction

Answer 7

Yankaur Suction Tip

Question 8

Monitoring of concentration or partial pressure of CO2
 Graph of expiratory CO2 by expired volume
 Advantage of capnography
 Breath to breath ventilation data
 Respiratory effort
 Real-time feedback on treatment ( i.e. IV med administration)

Answer 8

Capnography

Question 9

 Measures oxygen saturation of arterial blood
 Determine percentage of oxyhemoglobin in capillaries
 Operates on 650nm and 950nm wave length

Answer 9

Pulse oximeter

Question 10

No Airtight Seal
Significant Air Dilution
Cannot Be Scavenged
No N2O, Inhalation Agents
No Reservoir Bag
Often Uncomfortable

Answer 10

Nasal Cannula

Question 11

Commonplace in Office
Less Air Dilution
Less Volume Needed
Reservoir Bag
May Be Scavenged

Answer 11

Nasal hood

Question 12

Etiology of ______________
Poor Airway Classification
Relaxation of Soft Tissues
Retraction of the Tongue
Depressing the Mandible
Inadequate Airway Support

Answer 12

Airway Obstruction

Question 13

 Displaces the prolapsed
tongue from the posterior
pharyngeal wall
 Eliminates obstruction
 Can be used for conscious
or unconscious patient

Answer 13

Head tilt chin lift

Question 14

 Double Lumen Airway
 Blindly Inserted
 Ventilate Patient Regardless of
Tracheal or Esophageal
Placement
Indications:
 Difficult Airway
 Can’t Ventilate
 Failed Intubation
 Can’t Move Head/Neck
 No Laryngoscope
 Significant Upper Airway
Bleeding

Answer 14

Combitube

Question 15

 Versatile airway tool offering:
 Ease of insertion
○ Quick insertion requiring no laryngoscopy
 Low incidence of sore throat and trauma
 Minimizes gastric insufflation
 Does protect from aspiration

Answer 15

King Laryngeal Tube (LT)

Question 16

 Intended as an Improved
Alternative to the Traditional
Face Mask
 Minimizes Trauma
 Simplifies Securing the
Airway

Answer 16

Laryngeal Mask Airway (LMA)

Question 17

 Palpate the Cricothyroid
Membrane
 Skin Incision over the
Cricothyroid Membrane
 Insert Scalpel Handle and Rotate
90 Degrees
 Insert Endotracheal Tube
 Inflate Cuff and Ventilate

Answer 17

Cricothyroidotomy

Question 18

 Should Be Used With Each Patient
 Prevents Teeth/Debris From Entering
Oropharynx
 Helps Absorb Excess Irrigation Fluid
 Provides Additional Reaction Time

Answer 18

Oral Pharyngeal Partition