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10 Cards in this Set
- Front
- Back
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indication for intubation
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vent support
airway protection ensuring airway patency anesthesia and surg operative position other than supine operative site at or near upper airway airway maintenance difficult by mask suctioning |
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preparation for intubation
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check ett cuff
stylet-hockey stick test bulb function extra handle functioning suction sniffing position pts head and your xiphoid |
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technique of ett placement
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up and away
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confirmation of ett placement
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auscultate x5
condensation in ett equal chest rise and fall capnogragh color change in co2 detector palpate duff at sternal notch cxr fob |
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typical cm placement for adults
males vs females |
females--21-22cm
males-- 22-23cm |
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typical ett size for males vs females
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females--7.0-7.5mm
males 7.5-8.0mm |
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failed intubation
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recognize--most important
reposition pt add a stylet change blades decrease tube size attempt nasal change laryngoscopists |
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failed mask ventilation
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lma
fiberoptic intubation combitube cricothyrotomy w/ jet ventilation tracheostomy |
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prep for nasal intubation
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select nostral (pt breaths through each by occulding the other)
visualize nasares phenylephrine nose drops (.5 or .25%) cocaine lubricate ett |
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tech for nasal intubation
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dialte nare w/ nasal airways
insert perpendicular to face, bevel directed laterally away from turbinates advance until visualized in oralpharynx magill foceps (bellow cuff) to guide intubation |
