endotracheal intubation

Question 1

what size Etube will a cat need

Answer 1

3- smallest available

Question 2

why do we intubate?

Answer 2

ensures airway
decreases anatomic dead space
prevents aspiration into lungs
a means of giving PPV
control of anesthetic depth

Question 3

2 blades for laryngoscopes

Answer 3

mcintosh and miller

Question 4

where should you put KY jelly?

Answer 4

on the cuff (with finger) this way, the cuff won’t stick to the trachea

Question 5

supplies needed for ET- besides pt, machine, and restrainer

Answer 5

laryngoscope, 2 tubes, gauze, lube, slip tip syringe, hemostat

Question 6

preferred way of tying the etube

Answer 6

IV line, rather than gauze or rubber bands

Question 7

3 types of ETubes

Answer 7

red rubber
vinyl
silicone

Question 8

which tube deflates manually

Answer 8

vinyl

Question 9

4 advantages of Vinyl tubes

Answer 9

resists cracking
can see if clogged
wont absorb chemicals
will see condensation

Question 10

Vinyl tubes are _____ than other tubes

Answer 10

stiffer

Question 11

red rubber 2 advantages

Answer 11

flexible

cheap

Question 12

disadvantages of red rubber

Answer 12

cant see fluid, dirty, clogged.
absorbs disinfectants, inhalants
tube may appear cracked when its not

Question 13

hazard of red rubber and other tubes

Answer 13

kinking/collapsing of tubes

Question 14

which tube deflates automatically

Answer 14

red rubber tube

Question 15

high volume/low pressure

Answer 15

vinyl and silicone

Question 16

low volume/high pressure

Answer 16

rubber

Question 17

silicone ETubes advantages

Answer 17

smooth and flexible

less irritating to tissues

Question 18

disadvantage to silicone

Answer 18

expensive

Question 19

which tubes are flexible

Answer 19

rubber and silicone

Question 20

most tubes are measured by:

Answer 20

internal diameter
(expressed in mm)
measure ET to reach thoracic inlet

Question 21

where is the measurement written

Answer 21

side of tube

Question 22

length of tube is expressed in

Answer 22

cm

Question 23

diameter of tube is expressed in

Answer 23

mm

Question 24

inflatable cuff provides

Answer 24

airtight seal between outside wall of tube and inside wall of trachea

Question 25

inflatable cuff prevents 2 things

Answer 25

leakage of gas from around tube | aspiration of fluids into trachea

Question 26

the balloon indicates

Answer 26

if the cuff is inflated enough

Question 27

inflatable cuff- if too much pressure, can cause..

Answer 27

tracheal necrosis

Question 28

inflatable cuff- if moved in the trachea, can cause..

Answer 28

tracheal damage- lacerations or ruptures

Question 29

how are ETubes cleaned and disinfected

Answer 29

with a proper cleaning solution (chlorhexidine diluted) and Etube brush

Question 30

how to properly dry an Etube

Answer 30

hang upside down on ET rack

Question 31

check cuff inflation after cleaning and before using to prove they can hold air for how long?

Answer 31

3-5 minutes

Question 32

Rule of Thumb

Answer 32

inject air while applying pressure to reservoir bag until little or no air escapes around tube

Question 33

must always use a laryngoscope on this species

Answer 33

pigs

Question 34

use blade of laryngoscope to

Answer 34

depress epiglottis

Question 35

what species is prone to laryngospasm

Answer 35

cats

Question 36

what to use on cats

Answer 36

2% lidocaine - gel 2% - 0.1ml/lb

Question 37

if the ETube is too flexible...

Answer 37

use a stylet to reach the tip of the tube

Question 38

as the cat exhales, the vocal cords are opened, which means..

Answer 38

it is easier to pass the tube.

Question 39

how to restrain..

Answer 39

lift lips by canines and hold tongue

Question 40

what side is the esophagus on

Answer 40

the animals left side

Question 41

most common misplacement of tube

Answer 41

into the esophagus

Question 42

if the tube is placed in the esophagus

Answer 42

the animal wakes up | feel two rigid tubes instead of one

Question 43

the patient becomes cynotic if....

Answer 43

endo-bronchial tubation | tube is placed too deeply

Question 44

to prevent endo-bronchial tubation..

Answer 44

always listen to both lungs

Question 45

point of murphys eye

Answer 45

extra hole in case one is closed off

Question 46

how can the etube become obstructed

Answer 46

KY jelly on the holes kinks mucous or disinfectant build up

Question 47

damage to larynx or epiglottis occurs by..

Answer 47

trying numerous times

Question 48

what is a laryngeal spasm?

Answer 48

vocal cords spasm

Question 49

least desirable method of confirming you're in

Answer 49

patting the chest (air from stomach can be misleading)

Question 50

2 main ways to confirm that you're in

Answer 50

movement- reservoir bag | feel at thoracic inlet for one rigid tube

Question 51

confirming you are in: red rubber/vinyl

Answer 51

feel air pass over cheek or finger/see condensation