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10 Cards in this Set
- Front
- Back
What are possible options for awake intubation?
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Blind nasal, oral, fiberoptic (nasal, oral), reterograde, tracheostomy, PTJV
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For patients who are unlikely to aspirate, what intubation options are appropriate?
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Awake intubation, routine induction, inhalation induction with spontaneous ventilation maintained, regional anesthesia
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If an inhalation induction is done on a patient unlikely to aspirate, how is the airway secured?
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Laryngoscopy or blind nasal
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In a patient with a routine induction who has a good airway, what comes next?
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Short acting NMB, laryngoscopy
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In a patient with a routine induction who has a poor airway, what are your options?
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Support with high FiO2 until spontaneous ventilation returns, then proceed with awake intubation; Chrichothyroidotomy/Trach/PTJV; May consider short-acting NMB for laryngoscopy
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Why does ludwig's angina make an airway difficult?
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Cellulitis of the floor of the mouth
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In an unsuspected difficult airway in a nasotracheal intubation, what should be done first?
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Establish patent airway
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In an unsuspected difficult airway in a nasotracheal intubation where the airway is determined to be poor, what should be done?
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Abandon efforts at nasotracheal intubation, convert to orotracheal intubation
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In an unsuspected difficult airway in a nasotracheal intubation where the airway is determined to be good, what should be done?
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Reoxygenate and reattempt nasotracheal intubation, consider using the other naris, helevate head with pillow, lower head, check for submucosal dissection, check ETT for tissue
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What are things to check in the face of a difficult nasotracheal intubation?
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Use other naris, elevate head with pillow, lwoer head, check for submucosal dissection, check ETT for tissue
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