Flashcards in LMA and Airway Deck (31)
1
name and describe each class and grade of the Mallampatti
I- pillars/ uvula/ hard palate/ Soft Palate
II- Uvula/ hard palate/ Soft Palate
III- Hard palate/ Soft Palate
IV- hard palate
2
SLN injury: Name the effect of nerve injury
Unlilateral
Minimal
3
SLN injury: Name the effect of nerve injury
Bilateral
Hoarseness/ tiring of voice
4
RLN injury: Name the effect of nerve injury
Unilateral
Hoarsness
5
RLN injury: Name the effect of nerve injury
Bilateral (Acute)
Stridor, Respiratory distress
6
RLN injury: Name the effect of nerve injury
Bilateral (chronic)
Aphonia
7
Vagus nerve injury: Name the effect of nerve injury
Unilateral
Hoarsness
8
Use and LMA or Not to use an LMA:
Not fasted or Fasting not confirmed
No
9
Use and LMA or Not to use an LMA:
Grossly or morbidly obese?
no
10
Use and LMA or Not to use an LMA:
Alternative to Facemask to control airway for routine or emergency situation
Yes
11
Use and LMA or Not to use an LMA:
Replacement for ETT
no
12
Use and LMA or Not to use an LMA:
Elective procedures when OETT not indicated
yes
13
Use and LMA or Not to use an LMA:
To est a good airway while resuscitating unconscious pt
yes
14
Use and LMA or Not to use an LMA:
more than 14 weeks pregnant
no
15
Use and LMA or Not to use an LMA:
Acute abdomen
no
16
Use and LMA or Not to use an LMA:
Thoracic injury
no
17
Use and LMA or Not to use an LMA:
Delayed gastric emptying
no
18
Use and LMA or Not to use an LMA:
when you can't intubate
yes
19
Use and LMA or Not to use an LMA:
Opiate use prior to fasting
no
20
Use and LMA or Not to use an LMA:
Fixed decrease pulmonary comoliance (pulm fibrosis)
no
21
Use and LMA or Not to use an LMA:
Peak airway pressures > 20
no
22
Use and LMA or Not to use an LMA:
pt can't answer medical history
no
23
Adverse effects of LMA
Aspiration (2:10,000)
Sore throat (10%)
hypoglossal nerve injury (rare)
Tongue cyanosis
Vocal cord paralysis
24
List the 8 LMA sizes
1
1.5
2
2.5
3
4
5
6
25
write appopriate weight and growth for each
1- neonate up to 5 kg
1.5- infants 5-10kg
2- children 10-20kg
2.5- Children 20-30kg
3- children 30-50 kg
4- Adult
5- adult
6- Large adult > 100kg
26
Describe the fast track LMA
Advanced type of LMA for tracheal intubation w/ ET tube
Latex free
Epiglottis elevating bar
27
How many times can a fast track be used?
40 times
28
When would you use a fast track?
Alternative to facemask
Unexpected difficult airway
For clear airway
29
Is a fast track LMA indicated for replacement of OETT
no
30
what are the 4 sizes of a Fast tack LMA
3- small adult
4- normal adult
5- large adult
6- extra large adult
31