LMA and Airway Flashcards Preview

► Med Misc 44 > LMA and Airway > Flashcards

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

The LMA selection is always based on what?

pt's weight

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