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12 Cards in this Set
- Front
- Back
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What is the awake look?
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Try to see cords before pt is completely sedated, using topical anesthetics
Can't do an awake intubation b/c patient will cough, resist |
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What is the condition for using airway adjuncts?
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SaO2 must be adequate: BVM must be keeping sats > 85%
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If BVM is not keeping sats > 85%, what do you do?
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make a surgical airway
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What are the main airway adjuncts?
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Combitube
ILMA lighted wand retrograde intubation |
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How often does the combitube go into the espophagus?
In the esophagus, which lumen is used? |
90% of time
use lumen #1 |
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How does the ILMA (intubating laryngeal mask airway) work?
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blocks esophagus, puts "mask" over larynx, then you can pass ET tube through it
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What are the advantages of the lighted wand/stylet (trachlite)?
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doesn't require alignment of airway
doesn't need direct visualization simple rocking motion to place |
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What is the definition of a failed airway?
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three failed attempts by an experienced clinician
or 1 failed attempt when BVM fails to keep sats > 85% |
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If sats are falling with first intubation attempt, what are the two options?
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1) stop and cut
2) continue trying, but simultaneously cut |
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How long does it take to cric a patient?
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1 1/2 minutes
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Predictors of difficult cric (mnemonic)
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SHORT
surgery (prior) hematoma in neck obesity raditation trauma |
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The skin incision in a cric is [horizontal, vertical].
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vertical (cric incision is then horizontal)
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