RSI/Intubation Flashcards
1
Q
When should RSI not be used?
A
- Children whose clinical condition is so unstable, that the medications given for RSI could precipitate cardiovascular collapse. Seek Medical Control advice.
-Children whose anatomic features, injuries, or pathology make bag valve
mask ventilation difficult or impossible. If you cannot bag and cannot
oxygenate, seek a local ER physician or anesthetist help and call Medical
Control.
2
Q
7 P’s
A
- Preparation (Soap Me)
- Position
- Preoxygenate
- Premedicate
- Paralysis
- Placement (of ETT)
- Post Intubation Management
3
Q
SOAP ME
A
- Suction
- Oxygen
- Airway and Adjuncts
- Pharmacology
- Medical Equipment
4
Q
ETT size and depth formula (approved)
A
Size: (Age/4) + 4 or (Age+16)/4
Depth = ETT size x3
5
Q
How long is the Pulse Ox delay?
A
6 seconds
6
Q
Purpose of ensuring full skeletal muscle relaxation prior to itubation.
A
If pt is not fully relaxed, intubation may cause laryngospasm
7
Q
If pt is severly hypoxic, how do you adjust preoxygenation step?
A
Increase PEEP and Ti as needed.
8
Q
First warning of loss of airway:
A
Loss of EtCO2 waveform.
9
Q
What is the maximum ammount of time you should spend attempting intubation before stopping to reoxygenate?
A
30 seconds
