Airway Er

Front 1

Factors to Intubate

Back 1

Protect air. Adequately ventilate. Prognosis of clinical course.

Front 2

Rapid Sequence Intubation

Back 2

Is the use of a rapid induction agent followed by the use of a rapid neuromuscular agent in setting which it is unknown if the patient has fasted and there will be a period of apnea between bag valve mask and intubation.

Front 3

P's of RSI

Back 3

Preperation. Preoxygenation. Pretreatment. Paralysis and induction. Protection and positioning. Placement with proof. Postintubation managment.

Front 4

Preperation

Back 4

Is the period in which equipment gathered, drugs chosen, monitoring and IV access are set up, and assessment of the patient using mallampati.

Front 5

Laryngoscope

Back 5

Macintosh curved blade. Miler straight blade (goes on top of epiglotitis).

Front 6

Preoxygenation

Back 6

Creates oxygenation resivior with in lungs, blood, and body tissues.

Front 7

Pretreatment

Back 7

Is a period in which drugs are given to certain populations to prevent complications of rapid sequence intubation.

Front 8

Lidocaine

Back 8

Given for reactive airway disease to prevent increased ICP.

Front 9

Opiod

Back 9

Is a pretreatment to blunt sypmpathetic response to prevent dissection, ruptured aneurysm.

Front 10

Atropine

Back 10

Is a pretreatment for children under 10 years old to prevent bradycardia.

Front 11

Paralysis and Induction

Back 11

Is a stage of RSI in which patient is given a muscle reactant usually succinylcholine and inudcing agent..

Front 12

Rapacuronium

Back 12

Is a rapid non depolarizing muscle relaxant that has 20 min duration without neostigmine, and 10 min with.

Front 13

Rocuronium

Back 13

Is a non depolarizing muscle relaxant that hs duration of 40 to 60 min.

Front 14

Etomidate

Back 14

Is a rapid induction anesthetic that has an onset of 20 to 30 sec with a duration of 7 to 14 min. Attenuates increased ICP and is hemodynamically stable agent.

Front 15

Ketamine

Back 15

NMDA antagonist onset 20 to 30 sec and duration of 10 to 15 min. That can increase catecholamine.

Front 16

Bz

Back 16

Midolzolam is the fastest. Lorazapam is the slowest. Diazepam is the longest. Great for amnestic properties

Front 17

Barbituates

Back 17

Thiopental and methohexital short acting. Can causes venodilation and myocardial depression. Cerbroprotective, prevent increase in ICP.

Front 18

Protection and Positioning

Back 18

Is the placement of the airway to allow for airway to remain open and allow for visualization of vocal cords.

Front 19

Sellick's Manuever

Back 19

Applying cricoid pressure.

Front 20

Opening the Mouth

Back 20

Open mouth with crossed finger scissor technique with thumb and index finger.

Front 21

BURP Method

Back 21

If only epiglotisis is visualized after sweeping tounge out of the way, apply backwards, upwards, rightward pressure with your right hand.

Front 22

Placement and Proof

Back 22

Is a stage of RSI that is done by seeing the ET going into the trachea, ascultating lungs and abdomen, condestation in ET tube, capnometer (qualitative), and chest xray.

Front 23

Post Intubation Management

Back 23

Tube must be placed properly. Mechanized ventilation should begin. Follow up chest x ray. Administering sedation with analgesia.

Front 24

Bradycardia and Post Intubation Management

Back 24

Bradycardia should be assumed to be esophageal placement with secondary hypoxia until proven otherwise.

Front 25

Hypotension and Post Intubation

Back 25

Tension pneumothorax. Decreased venous return. Induction agents. Cardiogenic.

Front 26

Crash Airway

Back 26

Occurs in an unresponsive patient, apnea or agonal respirations, arrested or near death, and anticipated to be unresponsive to laryngoscopy.

Front 27

Mallampati Score

Back 27

Class I - Tonsils and all of uvula can be seen.
Class II - Part of uvula can be seen
Class III - base of uvula can be seen
Class IV - Only hard palate can be seen.

Front 28

Unsuccessful Attempt

Back 28

Is one full attempt. If one person can not do it after one time attending should try it three times.

Front 29

Failed Airway

Back 29

If unable to BMV a cricothyrotomy is indicated.
If able to BMV than consider retrograde intubation, combitube, fiberoptic, LMA, or lighted stylet.

Front 30

Retrograde Intubation

Back 30

Is when a cricothyrotomy is done and a guide wire is strung up through the mouth and ET tube is placed over it.

CI: neoplastic and infections.

Front 31

Lighted-stylet Intubation

Back 31

Light tipped sylet used to iluminate trachea.

Used in C-spine

Front 32

Fiberoptic

Back 32

Camera

Front 33

Digital Intubation

Back 33

Fingers used to guide ET tube in.

Front 34

Surgical Airway

Back 34

Indicated in severe facial trauma, neck distortion, and bleeding into the mouth.

Front 35

Precutaneous Transtracheal Ventilation

Back 35

Accomplished by inserting large bore IV needle through cricothyroid membrane into trachea.

Front 36

Disadvantages of Chricothyroidotomy

Back 36

Can't use larger than 6mm tube. Can't use in children under 8. Can use longer than 2 to 3 days because it causes glottic and subglottic stenosis.

Front 37

Advantages of Tracheostomy

Back 37

Lowered airway resistance. Suctioning more direct. Less chance of damaging vocal cords.

Front 38

Complications of Tracheostomy

Back 38

Aspiration. Trachea necrosis. Esophageal fistula.