Term
| Normal extension of the atlanto-occipital joint |
|
Definition
35 degrees
30% limitation increases the risk of difficult intubation
Consider downs, RA, Cervical neck disease, Diabetes |
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Term
|
Definition
| 3 fingerbreadths- 6 cm from tip of mandible to thyroid notch |
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|
Term
|
Definition
Asses the size of the tongue relative to the mouth
Correlates with space, predicted ease of direct laryngoscopy
Sit straight up, open mouth, stick out tongue, no phonation |
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Term
|
Definition
| Visualization of the soft palate, fauces, uvula, and both tonsillar pillars |
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Term
|
Definition
| Visualization of the soft palate, fauces, uvula |
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|
Term
|
Definition
| Visualization of the soft palate and base of the uvula |
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|
Term
|
Definition
| the soft palate is not visable at all |
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|
Term
|
Definition
| Most of the glottis is visible |
|
|
Term
|
Definition
Only the posterior portion of the glottis is visible
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|
|
Term
|
Definition
| the epiglottis is visible but no part of the glottis is seen |
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|
Term
|
Definition
| No airway structures are seen |
|
|
Term
|
Definition
| < 12.5 to 13.5 cm could be difficult to intubate |
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|
Term
|
Definition
Mouth opening
Thryomental Distance
Thyrohyoid distance |
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Term
|
Definition
| Lower incisior can bite above the vermillion border |
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|
Term
|
Definition
| Lower incisior cannot reach the vermillion border |
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|
Term
|
Definition
| Lower incisor cannot bite the upper lip |
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|
Term
|
Definition
1/3 of DM1 will be a difficult intubation
30-40% limited joint mobility
Prayer sign or table top
Also will have gastroparesis- watch out for aspiraiton |
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|
Term
|
Definition
Optimize their position- ear with sternum
Optimize oxygenation and denitrogenation |
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Term
| Common things that get in the way of Bag-Mask Ventiation |
|
Definition
Beards
No teeth, no chin
OSA
Other facial abnormalites or trauma
Males
>55
Stiff lungs
Increased BMi
Some other....check chart |
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|
Term
|
Definition
Look for abnormalites
Evaluate 3-3-2
Mallampati
Obstruction
Neck Mobility |
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|
Term
|
Definition
up 10 cm
Aligns Laryngeal and Pharyngeal |
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|
Term
| Extension of Head (to me neck) |
|
Definition
| Aligns the oropharyngeal and pharyngeal |
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|
Term
| Purpose of Preoxygenation |
|
Definition
Increase O2 from 21% to 100%
Decrease nitrogen from 78% |
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
8 vital capactiy breaths with 100% FiO2 for 60 seconds
Breathing 100% FiO2 for 3 mins |
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|
Term
| Preoxygenating Obese People |
|
Definition
HOB increased 25%
100% FiO2
Apply 10cm positve pressure |
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|
Term
|
Definition
Tongue, uvula
Epiglottis
Vallecula
Glottic opening
Vocal cords |
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