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Intro. to Airway Management Lecture 1
First quarter airway management info. for AA students
32
Other
Graduate
08/30/2010

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Term
Pharynx
Definition
Common passageway for air and food that is 10-15cm long. Widest at hyoid bone and narrowest where it joins the esophagus.
Term
Functions of the nose
Definition
Primary passageway of air into the body.
-respiration
-olfaction
-humidification
-phonation
-filtration
Term
Ethmoid Bone
Definition
Bone that lies against the superior surface of the nasal cavity.
Term
Turbinates
Definition
Tissue flaps in the nasal cavity that increase surface area for warming/humidification.
Term
3 types of tonsils
Definition
pharyngeal (adenoids), lingual, and palatine (true tonsils)
Term
Innervation of the anterior 2/3 of the tongue
Definition
Lingual and chorda tympani (taste) V2
Term
Innervation of posterior 1/3 of tongue
Definition
glossopharyngeal nerve (CNIX)
Term
Motor Innervation of Tongue
Definition
Hypoglossal nerve (XII)
Term
Larynx function
Definition
structure that guards entrance to trachea. produces sound.
Term
Larynx size
Definition
4-5mL
smaller in females and children.
Term
Larynx anatomical level
Definition
C3-C6
Term
Bones of the larynx
Definition
Hyoid bone-suspends & anchors larynx
Term
Cartilages of the Larynx
Definition
Thyroid, cricoid, corniculates, cuneiforms, arytenoids, and epiglottis
Term
Thyroid cartilage
Definition
shield like shape with superior and inferior horns. Forms "adam's apple"
Term
Cricoid Cartilage
Definition
Signet ring shape. Complete cartilage ring. Facets for articulating with thyroid cartilage and arytenoids.
Term
Arytenoids
Definition
pyrimidal in shape. ball & socket joint with cricoid cartilage.
Term
Cuneiforms
Definition
fibroelastic
aryepiglottic fold
more lateral bumps when looking at larynx
Term
Corniculates
Definition
sesamoid
over arytenoids
more medial bumps when looking at larynx
Term
Epiglottis
Definition
leaf-shaped, fibroelastic cartilage that covers trachea.
Term
Hyo-Epiglottic Ligament
Definition
connects hyoid bone to epiglottis.
Term
Extrinsic muscles of the larynx
Definition
connect larynx w/hyoid
elevate larynx & structure
Term
Intrinsic muscles of the larynx
Definition
adjust tension on vocal ligaments
open & close rima glottidis
control size of vestibule
Term
Superior Laryngeal Nerve
Definition
Internal branch-sensory in laryngeal cavity--> vocal folds

External Branch-motor of cricothyroid muscle
Term
Recurrent Laryngeal Nerve
Definition
innervates all other intrinsic laryngeal muscles

sensory below level of vocal cords
Term
Laryngeal view during forced inspiration
Definition
vocal cords abducted
rima glottidis wide open
vestibule open
Term
laryngeal view during phonation
Definition
vocal folds adducted and stridulating
vestibule open
Term
Laryngeal view during effort closure
Definition
vocal and vestibular folds adducted
rima glottidis & vestuble closed
Term
Laryngeal Spasm
Definition
involuntary reflex due to stimulation of the sup. laryngeal nerve, resulting in reflex closure of the glottis.
Term
Causes of laryngeal spasm
Definition
touch, heat, chimical stimuli (saliva, ET tubes, etc.)
Term
Vocal Cord Palsies w/sup. laryngeal nerve damage
Definition
damage to sup. laryngeal nerve causes cricothyroid muscle paralysis, resulting in hoarseness, wavy vocal cords, and frequent throat clearing.
Term
VC paulsies with Rec. laryngeal nerve damage
Definition
pure abductor, unilateral complete, bilateral abductor. (see pictures)
Term
Vagal Damage
Definition
vocal cords can't close & get wavy
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