Chapter 15: Airway Management 3

Front 1

L-E-M-O-N

Back 1

-L- look externally
-E- evaluate 3-3-2 (mouth width more than 3 fingers, mandible length of 3 fingers, distance from hyoid bone to thyroid notch width of 2 fingers)
-M- mallampati
-O- obstruction
-N- neck mobility

Front 2

Disadvantage of ET Intubation

Back 2

functions of warming, humidifying, and filtering are bypassed

Front 3

Hyperventilating

Back 3

DO NOT hyperventilate pt, may decrease venous return to heart

Front 4

When inserting ET Tube

Back 4

continue until proximal end of cuff is 1 to 2 cm past vocal cords

Front 5

Ventilation by age

Back 5

Adult w/ pulse-- 10 to 12 breaths/min
infant or child-- 12 to 20 breaths/min

Front 6

Suspect Pneumothorax if..

Back 6

-- Stronger breath sounds on left side
-- Persistent cyanosis despite ventilation
-- Decreased ventilatory compliance

Front 7

With Proper Tube Placement

Back 7

-- Bag-mask device should compress easily
-- should see corresponding chest expansion

Front 8

Decreased Ventilatory Compliance

Back 8

may indicate gastric distention, esophageal intubation, tension pneumothorax

Front 9

Indication for Nasotracheal Intubation

Back 9

Breathing spontaneously, but requires definitive airway management
( rotate tube 180° as tip enters nasopharynx )

Front 10

During Digital Intubation

Back 10

Head cannot be moved as with c-spine

Front 11

Digital Intubation Contraindications

Back 11

-- pt breathing
-- not deeply unresponsive
-- intact gag reflex

Front 12

Miltilumen Airway Contraindications

Back 12

known pathologic condition of the esophagus such as ulcerative esophagus or esophageal cancer

Front 13

Complications of Miltilumen Airway

Back 13

unrecognized displacement into esophagus

Front 14

Indications for Laryngeal Mask Airway

Back 14

Alternative to bag mask ventilation

Front 15

Disadvantage to LMA

Back 15

no protection against aspiration

Front 16

Indications for Cricothyrotomy

Back 16

patent airway cannot be secured with conventional means
( first palate for V notch of thyroid cartilage )

Front 17

Contraindications for Cricothyrotomy

Back 17

-- ability to secure patent airway
-- inability to identify anatomic landmarks
-- crushing injuries to larynx and tracheal transection
-- tracheal tumors or subglottic stenosis
-- younger than 8 yrs