Term
|
Definition
-to prevent airway obstruction or aspiration
-for the ability to deliver PPV
-decreases anatomical dead space
-route for emergency drug administration |
|
|
Term
|
Definition
| calling for prompt action |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Beneficial to the patient but not essential for survival |
|
|
Term
| What constitutes emergent intubation? |
|
Definition
CPR
Apnea/total airway obstruction |
|
|
Term
| What constitutes urgent intubation? |
|
Definition
| shock state, partial airway obstruction, respiratory failure, pulmonary edema |
|
|
Term
| when do we intubate outside the OR? |
|
Definition
when we anticipate the need for controlled ventilation or airway protection
or when we need sedation |
|
|
Term
| Equipment needed for intubation outside of OR. |
|
Definition
Airway Equip: blades, tubes, stylet, suction, ambu bag, and O2 source.
Monitoring: SpO2, EKG, BP, & ETCO2
Venous Access for sedation administration |
|
|
Term
| When might we need general anesthesia outside of OR? |
|
Definition
Cerebral injury: need hyperventilation & barbituates to decrease ICP
Acute Epiglottits
Uncooperative patient |
|
|
Term
|
Definition
| insertion of the tube through the tracheal stoma |
|
|
Term
|
Definition
more common method
tube inserted through mouth into trachea |
|
|
Term
|
Definition
usually done if:
operating in mouth/on face
poor oral access
prolonged ventilation |
|
|
Term
| Depolarizing muscle relaxants |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Characteristics of succinylcholine |
|
Definition
quick onset (30-60 seconds)
fasciculation
short duration of action (5-20 min.)
not reversible by drugs |
|
|
Term
| Side effects of succinylcholine |
|
Definition
hyperkalemia
Malignant hyperthermia
muscle pain
bradycardia |
|
|
Term
| Non-depolarizing muscle relaxants? |
|
Definition
Pancuronium
vecuronium
rocuronium
atracurium
cis-atracurium
mivacurium |
|
|
Term
|
Definition
|
|
Term
|
Definition
intermediate duration
few side effects
metabolized by liver & excreted in urine |
|
|
Term
|
Definition
most frequently used
shorter onset, intermediate duration
few side effects
metabolized by liver, excreted in urine |
|
|
Term
|
Definition
metabolized by ester hydrolysis & Hoffman elimination
histamine release
not dependent on liver/kidney function |
|
|
Term
|
Definition
| just like atracurium w/o the histamine release |
|
|
Term
|
Definition
short acting
metabolized by psuedocholinesterase (so avoid use in pregnant women)
some histamine release |
|
|
