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17 Cards in this Set
- Front
- Back
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Indications for Intubation (4)
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1. Failure of oxygenation
2. Failure of ventilation 3. Failure to protect airway 4. Anticipated clinical course |
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Predictors of Difficult Laryngoscopy (LEMON)
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1. Look Externally
2. Evaluate the 3-3-2 Rule 3. Mallampati 4. Obstruction/Obesity 5. Neck Mobility |
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Predictors of Difficult Bag Mask Ventilation (MOANS)
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1. Mask Seal/Mallampati
2. Obstruction/Obesity 3. Age 4. No Teeth 5. Stiffness (resistance to ventilation)/Snoring |
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Predictors of Difficult Extraglottic Device Placement (RODS)
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1. Restricted Mouth Opening
2. Obstruction/Obesity 3. Distorted Anatomy 4. Stiffness (resistance to ventilation) |
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Predictors of Difficult Cricothyrotomy (SMART)
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1. Surgery
2. Mass (hematoma/abscess) 3. Access/Anatomy 4. Radiation (other deformity/scarring) 5. Tumor |
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Confirmation of ETT Placement (7)
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1. ETCO2 (6 manual ventilations)
2. Direct Visualization 3. Esophageal Detection Device 4. Chest Auscultation 5. Tube Condensation 6. Bagging Resistance 7. Chest Radiography |
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Definition of Failed Airway
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Can't Intubate & Can't Oxygenate
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Definition of RSI (Rapid Sequence Intubation)
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Take patient from a state of conscious spontaneous breathing to a state of unconsciousness and complete neuromuscular paralysis and to achieve intubation without interposed assisted ventilation
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List Indications and Agents for Pretreatment
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1. Reactive Airway Disease - Lidocaine 1.5mg/kg
2. Cardiovascular Disease - Fentanyl 3mcg/kg 3. Increased ICP - Lidocaine 1.5mg/kg + Fentanyl 3mcg/kg Pretreatment 3 minutes prior to RSI |
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List the Steps of RSI (7)
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1. Preparation
2. Preoxygenation 3. Pretreatment 4. Positioning 5. Paralysis + Induction 6. Placement of tube with Proof 7. Post intubation Management |
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Contraindications to Succinocholine (8)
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1. Malignant Hyperthermia
2. Pseudocholinesterase 3. Burns > 10% BSA 4. Crush Injury 5. Denervation 6. Neuromuscular Disease 7. Intra-abdominal Sepsis 8. Hyperkalemia of other causes |
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List Types and Doses of NMBAs
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1. Succinocholine 1.5mg/kg (Depolarizing)
2. Rocuronium 1mg/kg (Competitive) |
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List Doses of Induction Agents
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1. Etomidate 0.3mg/kg
2. Ketamine 1-2mg/kg (1.5) 3. Propofol 1-2mg/kg (1.5) 4. Midazolam 0.2-0.3 mg/kg |
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Cormack Lehane Laryngeal View Grade System
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Grade 1 - Full view of the vocal cords (entire glottic aperture)
Grade 2 - Aretynoids +/- partial cord view Grade 3 - Epiglottis only visible Grade 4 - No structures visible |
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Causes of Hypotension in the Post-Intubation Period (And Treatment)
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1. Pneumothorax (thoracostomy)
2. Decreased Venous Return (Fluid bolus, bronchodilators, decrease resp rate, manual decompression) 3. Induction Agents (Fluid bolus) 4. Cardiogenic |
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Causes of Poor Saturation in Ventilated Patient (DOPES)
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1. Dislodged Tube (check ETCO2)
2. Obstruction (Suction) 3. Pneumothorax (US/CXR, Thoracostomy) 4. Equipment Failure (Disconnect, manual ventilation) 5. Stacked Breaths (Manual decompression) |
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List Agents and Doses for Post Intubation Analgesia and Sedation
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1. Propofol 10-50mcg/kg/min (bolus 25-50mg)
2. Midazolam 1-5mg/hr (0.1 mg/kg/hr) 3. Fentanyl 25-100mcg/hr (0.5-2mcg/kg/hr) (bolus 25-100mcg) 4. Ketamine 0.5-1 mcg/kg/min 5. Morphine 0.05-0.2 mg/kg (1-80mg/hr) |
