Flashcards in Airway Management & CV Collapse Deck (55)
What does ABC mean in an emergent setting?
Airway Management in General
Head tilt-chin lift
Suction if needed
BVM if no respiratory effort
Airway Management in Unconscious Patient with Respiratory Effort
Administer high-flow oxygen
Ensure no upper airway obstruction
Suspected lower airway obstruction: Heimlich maneuver
Types of "High-Flow" Oxygen
Nasal cannula: 6 L/min
In what type of patient is a NPA better tolerated compared to the OPA?
When can a NPA be used?
Patients with intact gag reflex
Complication of a NPA
How to Measure a NPA
Tip of nose to earlobe
When are oropharyngeal airways generally used?
Why does an OPA need to be inserted carefully?
So the tongue is not pushed back into the pharynx blocking the airway
How to Measure an OPA
Mouth to angle of the mandible
Indications for a Laryngeal Mask Airway (LMA)
Rescue device after failed intubation
Attempted quickly while another person preparing for cricothyroidotomy
Plan for short term intubation
Good alternative to BVM ventilation: decrease intubation risk
Where does an LMA sit?
Patient's hypo pharynx and covers the supraglottic structures
Isolates the trachea
Where is an LMA used?
Contraindications to an LMA
Cannot open mouth
Complete upper airway obstruction
How to Insert an LMA
Select proper size
Lubricate back of mask
Patient placed in sniffing position
Slide mask down posterior pharyngeal wall until resistance felt
Confirm tube position
Necrosis: if cuff overinflated
Mask tip can fold and cause obstruction by pushing on epiglottis
Mask tip can fold back on itself
Oxygenate before and after intubations
Intubate as soon as you think of it
Make sure patient isn't a DNI/DNR
Why are rapidly acting sedatives and a neuromuscular blocking agent used in intubation?
Minimize risk of aspiration of stomach contents
Indications for Rapid Sequence Intubation (RSI)
Standard of care for intubations not anticipated to be difficult
Contraindications of RSI
Anticipating difficult airway placement
Inability to ventilate patient (paralytic may be contraindicated)
7 P's of RSI
Protection and positioning
Placement with proof
Pneumonic for Preparation in RSI
What does STOP MAID stand for?
T: tools for intubation
O: oxygen source
A: assistant, Ambu bag with face mask, airway devices, airway assessment
I: IV access
Tools Used in Intubation
Types of Monitors Necessary for Intubation
Preoxygenation in RSI
Administration of high-flow oxygen
Take 8 VC breaths
Manual ventilation if necessary
Maintain potency of upper airway
5L of O2 via NC
Pretreatment in RSI
Atropine for pediatric patients
Medications that can be Used for Paralysis with Induction