Flashcards in Airway Assessment Deck (20)
What types of patients require an airway assessment?
any patient receiving any type of anesthesia
What are the two attachments for the vocal cords?
thyroid cartilage and arytenoids
What are the indications for intubation?
to provide PEEP
maintain airway patency
deliver predictable FiO2
maintain adequate oxygenation
What are the indications for a mask case?
no difficult airway
surgeon doesn't need access to head/neck
no bleeding/secretion issues in neck/throat
no table position changes
any tongue obstruction should be easily removed with head tilt/chin lift
What are examples of surgical history that may predict a difficult airway?
tracheostomy or scar from previous one
cervical spine procedures
What are some examples of co-morbidities that can predict a difficult airway
lesions on the larynx
genetic disorders (turner's, downs, etc.)
What are some considerations when inspecting the teeth?
length of incisors?
condition of teeth (missing, diseased, overbite)?
relationship of upper incisors to lower incisors?
dentures or implants?
What is a normal mouth opening distance?
2 fingerbreadths or 4 cm
What is a normal thyromental distance?
6.5 cm or 3 finger breadths
What is a normal hyoidmental distance?
2 finger breadths
How is full ROM of the neck described?
should be able to touch chin to their chest
What is visible in mallampati class 1?
faucile pillars, uvula, soft palate, hard palate
What is visible in a mallampati class 2?
uvula, fauces, hard and soft palate
what is visible in a mallampati class 3?
base of uvula, soft and hard palate
What is visible in a mallampti class 4?
hard palate only
What is required in an airway set up?
oral and nasal airways in several sizes
What should you document pre-op?
dental assessment, ROM, mallampati class, TM distance, mouth opening
What should you document post extubation
dental assessment (teeth still intact), airway patency, adjunct airways required/used
What should you document post intubation?
visualization of the chords, trauma, equipment used, hemodynamic or respiratory changes