Week 4 "scary" airway Flashcards

1
Q

ELM= external Laryngeal Manipulation→ BURP

A

Backwards Upwards Rightwards pressure for better glottic visual

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2
Q

Needle cricothyrotomy=

A

surgical airway inserting a 14-gauge needle into the trachea at the crico-thyroid membrane
Easier but less airway

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3
Q

Open Cricothyrotomy=

A

surgical airway that places a ETT or trach tube directly into the trachea through an incision at the crico-thyroid membrane
Harder but effective airway (50% have complications)

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4
Q

Tracheal stenosis

A

narrowing of trachea from injury/ scarring often caused by Cricothyrotomy

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5
Q

How to estimate PEDI ET tube size:

A

Uncuffed ET: (Age /4) + 4 OR (Age + 16) /4
Cuffed ET = (Age /4) + 3.5

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6
Q

How to estimate childs weight:

A

(Age + 4) x 2 = Approximate weight in kg (Old Way)
(Age x 3) + 7 = Approximate weight in kg (New Way

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7
Q

Cricothyrotomy Indications:
Contraindications

A

Inability to establish an airway by any other method!!!
None if the procedure is indicated

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8
Q

Needle Cricothyrotomy Potential Complications:

A

Barotrauma, Pneumothorax, Hypercarbia

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9
Q

Tidal volume in kids=

A

5-7mL/Kg

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10
Q

With kids ETT have tube sizes:

A

size you want, a size larger, & smaller

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11
Q

WHALE emblem on kid seat=

A

We Have A Little Emergency
Bottom of sticker with ALL of kids info

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12
Q

Epiglottis shape in adult=
Epiglottis shape in kids=

A

Domed & firm
flimsy & floppy “wet donut w/ a bite”

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13
Q

location of lungs in kids=

A

armpit to armpit for auscultation

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14
Q

Diaphragms in kids location &–>

A

straight across & sometimes “belly breath” to put more neg/ pressure on diaphragm

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15
Q

kids if to fight bronchoconstriction with intubation use which ETT

A

cuffed ETT to create resistance against constriction

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16
Q

Narrowest part of kid’s airway

A

Cricoid

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17
Q

Pedi ETT location

A

2-3 cm below cords when intubating

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18
Q

Pedi uncuffed sizing=

A

(age/4) +4 or (age +16)/4

19
Q

Pedi cuffed sizing=

A

(age/4) +3.5

20
Q

Estimate pedi weight:

A

(age +4) x2=Kg <Old>
(age X 3) +7=Kg <New></New></Old>

21
Q

Handtevy=

A

your hand 1,3,5,7,9 10,15,20,25,30→ weight (Kg) in kids

22
Q

Broselow tape=

A

tape rolled out to measure kids weight “red to head” heel to color for weight category

23
Q

if kid is on the line of a weight category=

A

give a lil more drugs (need to be aggressive with care)

24
Q

Kids have prominent Crane #10 reflex

A

can go bradycardic acutely

25
Q

Most common cause of cric/s

A

Facial trauma

26
Q

setting up needle cric/

A

End off of 3.5 et tube into 18-gauge catheter
Best way= 3mL plunger out 8.0 et tube and middle of the barrel

27
Q

Less than age of 8

A

can only needle cric/ & 18-gauge catheter

28
Q

Bleps=

A

weak spots in lung tissue → can pop a bleb

29
Q

setting tools for surgical cric/

A

Surgical cric/ ~6.0 tube, scalpel, & bougie

30
Q

Marfan=

A

stretched weak spots of tissues/skins

31
Q

Paper bag syndrome=

A

inhaling before wrecking thus lung pops from hitting steering wheel w/ full of air

32
Q

¾ inch in open pneumo

A

sucking chest wound

33
Q

Tension pneumo only crushes

A

Right atrium

34
Q

Kussmaul sign

A

increased JVD during inhalation

35
Q

Hyperresonant percussion note=

A

direct, indirect, blunt→
Hypoperresonant= got a hemothorax

36
Q

Signs in hemothorax you dont see in tension pneumo

A

JVD b/c blood loss

37
Q

Anterior site for pneumo decompression b/c

A

Air is always up/rising

38
Q

needle size for for decompressing pneumo

A

3 inches at least

39
Q

Digital thoracostomy=

A

1-2in incision between 4th & 5th intercostal space, ( “cut finger tube” )

40
Q

The diaphragm receives its stimulus from the medulla via

A

phrenic nerve

41
Q

The anatomical landmark for the insertion of a surgical airway is

A

cricothyroid membrane

42
Q

A surgical cricothyrotomy is contraindicated in patients less than

A

less than 8 years old

43
Q
A