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15 Cards in this Set

  • Front
  • Back

Manual resuscitators

Bag, Valve, Mask BVM

100% O2 capabilities


bag or Accumulator

flow meter has to be above 15 lpm

need to bag vigorisouly to blow of CO2

Proper placement of hands to hold resuscitator mask to patients face and perform head tilt maneuver

Manual Resuscitators

Adequate stroke volume

:700 to 1100 ml

Quick refill capabilities

Spontaneous breathing through 1 way valve

Tracheal airways

Two basic types

:Endotracheal tubes

::inserted through either mouth or nose, through larynx and into trachea

:Tracheostomy tubes

::inserted through surgically created opening in neck directly into trachea: tracheotomy

King of airways!

Endotracheal Tube

Endotracheal tube

:best emergency device for maintaining a secure airway

:provides route for Sx and prevents aspiration

Works well with PPV

Can be maintained for weeks

ETT tube

Murphy eye at end if tip gets occluded

Inflatable cuff to seal airway (hi V low P)

Pilot tube to cuff. (don't accidentally cut!)

Graduated in cm

Radio opaque stripe for X ray identification

Tracheal airways

Endotracheal tube and tracheostomy tube

Establishing an artificial airway


:Orotracheal intubation

:Nasotracheal intubation


Orotracheal intubation


:Fastest, most direct

:Larger diameter can be utilized

:Minimal trauma


:Oral care difficult

:ETT leads to increased gag reflex

:less stable

Nasal intubation


:less gag reflex

:oral care easier

:ETT more stable


:smaller tube

:Necrosis of nasal tissue

Intubation Equipment

Endotracheal tube and stylet (pliable metal device, straightens the tube)


Sterile water soluable jelly

10 cc syringe to inflate cuff

Adhesive tape or tube fixation device

Bite blok to prevent biting oral ET tube

Suction equipment, bag mask, O2

Local anesthetic (lidocaine spray)


Carlins tube is a double lumen endotracheal tube used for independent lung ventilation

Used for things like pneumothorax

Orotracheal intubation

Step 1, assemble and check equipment, batteries, blade, bulbs

Step 2, position patient: sniffing position

Step 3, preoxygenate and ventilate patient with BVM 100% O2, blow off PaCO2

Step 4, insert laryngoscope,

step 5, displace epiglottis to reveal the glottic opening

Step 6, visualize the glottis (opening into the trachea)

Step 7, Insert tube about 2 cm past the cords

Step 8, assess tube position (breath sounds, chest x ray, colorimeter)

:tip of tube should be 3 to 6 cm above the Carina


Blade and Handle


:has a flange, spatula, light and tip

:Curved blade (mactintosh)

:Straight blade (miller)

Fiber optic vs traditional laryngoscope

Blade size 0-1 for infant, size 2 from age 2 to 8 years old, size 3 from age 10 to adult, and size 4 for large adult

Laryngoscope blades

Miller or stragiht blade

:inserted to directly lift epiglottis

Mactintosh or curved blade

:inserted into vallecula and lifted to move the epiglottis indirectly

:usually easier to find cords with this blade


White Clinical lab competencies

Chapter 21 page 461 to 467

Egan page 751 to 757

Workbook page 251 to 252