Tutorial 4 - physio techniques in ICU

Question 1

adverse effects of suctioning

Answer 1

hypoxia
trauma to airway
cardiac arrhythmias
infection

Question 2

what are the 2 routes for suctioning

Answer 2

intubated - open + close

non-intubated - naso/oropharyngeal - open

Question 3

What can be done to minimize adverse effects

Answer 3

hypoxia - hyperoxygenate
trauma - select proper catheter size. max 15 secs. do not push past occlusion
cardiac arrhythmias - monitor PR,ECG
Infection - sterile technique

Question 4

what is a minitracheostomy

Answer 4

a small tracheostomy without a cuff,, inserted for easy clearance of secretions

Question 5

Define MHI

Answer 5

application of a larager than tidal volume breath with an anesthetic or resuscitation circuit

Question 6

why do we use MHI

Answer 6

improve gas/secretion movement
treat segmental collapse
encourage respiratory muscle use when synchronized with the patient

Question 7

what are 5 CIs to MHI

Answer 7

pneumothorax w/o intercostal catheter 
# ribs/flail
unstable CVS
high peep
high ICP 
acute asthma