Week 4 "scary" airway

Question 1

ELM= external Laryngeal Manipulation→ BURP

Answer 1

Backwards Upwards Rightwards pressure for better glottic visual

Question 2

Needle cricothyrotomy=

Answer 2

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

Question 3

Open Cricothyrotomy=

Answer 3

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)

Question 4

Tracheal stenosis

Answer 4

narrowing of trachea from injury/ scarring often caused by Cricothyrotomy

Question 5

How to estimate PEDI ET tube size:

Answer 5

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

Question 6

How to estimate childs weight:

Answer 6

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

Question 7

Cricothyrotomy Indications:
Contraindications

Answer 7

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

Question 8

Needle Cricothyrotomy Potential Complications:

Answer 8

Barotrauma, Pneumothorax, Hypercarbia

Question 9

Tidal volume in kids=

Answer 9

5-7mL/Kg

Question 10

With kids ETT have tube sizes:

Answer 10

size you want, a size larger, & smaller

Question 11

WHALE emblem on kid seat=

Answer 11

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

Question 12

Epiglottis shape in adult=
Epiglottis shape in kids=

Answer 12

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

Question 13

location of lungs in kids=

Answer 13

armpit to armpit for auscultation

Question 14

Diaphragms in kids location &–>

Answer 14

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

Question 15

kids if to fight bronchoconstriction with intubation use which ETT

Answer 15

cuffed ETT to create resistance against constriction

Question 16

Narrowest part of kid’s airway

Answer 16

Cricoid

Question 17

Pedi ETT location

Answer 17

2-3 cm below cords when intubating

Question 18

Pedi uncuffed sizing=

Answer 18

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

Question 19

Pedi cuffed sizing=

Answer 19

(age/4) +3.5

Question 20

Estimate pedi weight:

Answer 20

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

Question 21

Handtevy=

Answer 21

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

Question 22

Broselow tape=

Answer 22

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

Question 23

if kid is on the line of a weight category=

Answer 23

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

Question 24

Kids have prominent Crane #10 reflex

Answer 24

can go bradycardic acutely

Question 25

Most common cause of cric/s

Answer 25

Facial trauma

Question 26

setting up needle cric/

Answer 26

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

Question 27

Less than age of 8

Answer 27

can only needle cric/ & 18-gauge catheter

Question 28

Bleps=

Answer 28

weak spots in lung tissue → can pop a bleb

Question 29

setting tools for surgical cric/

Answer 29

Surgical cric/ ~6.0 tube, scalpel, & bougie

Question 30

Marfan=

Answer 30

stretched weak spots of tissues/skins

Question 31

Paper bag syndrome=

Answer 31

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

Question 32

¾ inch in open pneumo

Answer 32

sucking chest wound

Question 33

Tension pneumo only crushes

Answer 33

Right atrium

Question 34

Kussmaul sign

Answer 34

increased JVD during inhalation

Question 35

Hyperresonant percussion note=

Answer 35

direct, indirect, blunt→ Hypoperresonant= got a hemothorax

Question 36

Signs in hemothorax you dont see in tension pneumo

Answer 36

JVD b/c blood loss

Question 37

Anterior site for pneumo decompression b/c

Answer 37

Air is always up/rising

Question 38

needle size for for decompressing pneumo

Answer 38

3 inches at least

Question 39

Digital thoracostomy=

Answer 39

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

Question 40

The diaphragm receives its stimulus from the medulla via

Answer 40

phrenic nerve

Question 41

The anatomical landmark for the insertion of a surgical airway is

Answer 41

cricothyroid membrane

Question 42

A surgical cricothyrotomy is contraindicated in patients less than

Answer 42

less than 8 years old