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Flashcards in Airway Management Deck (11):
1

List Factors that make it hard to Mask Ventilate

Beard
Obesity
No teeth
Elderly
Snoring

2

List Factors that make Intubation Hard

4Ds:

1. Disproportion (Large tongue, Micrognathia, High Arched Palate, Shirt thin Neck)

2. Distortion (Epiglotittis, Airway tumours )

3. Dysmobility (Ankylosing spondylitis, Cervical spine
injuries, Limited Mouth opening)

4. Dentition (Passion gap, protruding upper teeth)

3

List three Bedside Tests Commonly Used to Predict Difficult Intubation

Mallampati Classification
Thyromental Distance
Extension at Atlanto-Occipital Joint

4

List Different Modes of Airway Management

Facemask Ventilation
Tracheal Intubation
Supraglottic Airways (OPA/Guedel; LMA/Brian)
Surgical Airway

5

List Indications of Tracheal Intubation

Controlled ventilation
Protection of the airway
Maintenance of patent airway
Post-operative ventilation in ICU

6

What are the Advantages of Tracheal intubation

A guaranteed airway
Protection from gastric content aspiration
Ability to provide effective PPV
Ability to clear secretions from resp tract by suctioning

7

List the Equipment Needed for Tracheal Intubation

Introducer
Magills forceps + Mask
Airways: Ambubag or LMA
Laryngoscopes
Endotracheal tube
Suctioning catheter with a Yankeur nozzle

8

List Three Reliable Signs to Confirm Proper Intubation

See the tube go through vocal cords
Capnography
Esophageal detector devices

9

List Three Less Reliable Signs to Confirm Proper Intubation

Humidified Air Movement/ Tube Misting
Chest Expansion/Movement
Auscultation - Equal air entry and No gurgles!

10

Outline Complications of Intubation

Trauma
Bronchial intubation
Esophageal intubation
Failed Intubation
Obstruction of ETT
Intubation Response: Tachycardia, HPT, Bronchospasm
Increased Resistance to Breathing: Kinking or Narrow tube

11

Outline Complications After Extubation

Laryngospasm
Aspiration of Gastric Contents
Hoarseness and Sore Throat
Oedema of Trachea and Larynx
Ulceration of Vocal Cords and/or Trachea
Tracheal stenosis