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Intro. to Airway Management Lecture 2
Quarter 1 information on airway mngmt for AA Students
32
Other
Graduate
08/30/2010

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Term
Yankauer Suction Tips
Definition
rigid
rapid suction of large volumes
can cause dental damage or disloge ET tube
Term
Flexible Suction Catheter
Definition
standard french sizes
can be used to empty stomach or suction ET tube
Term
When do you provide supplemental oxygen?
Definition
when you need to increase FiO2
patients w/pre-existing pulmonary disease
MAC & regional anesthesia
Term
Nasal Cannula
Definition
well tolerated in awake patients
no rebreathing
Term
Simple Mask
Definition
no O2 reservoir
mix of O2 and room air
increases dead space
min. flow of 5L/min
Term
Venturi Mask
Definition
High O2 flows & room air entrained
Adjustable mixing jets
better FiO2
Term
Reservoir Mask-Partial Rebreather
Definition
no valve to reservoir bag
Term
Reservoir Mask-Non-rebreathing
Definition
one way valve between bag & mask
bag only filled as O2 reservoir
Term
Oropharyngeal Airway
Definition
sized from tip of lips to angle of jaw
patient should still be sedated
sized in cm
Term
Types of oral airways
Definition
Guedel: tubular channel
Berman: I-beam shape
Term
Nasopharyngeal Airways
Definition
better tolerated in patients
french sizes
Term
Contraindications to use of a nasal airway
Definition
epistaxis
nasal packing in place
hemorrhagic disorders
blood thinners
basilar skull fracture
Term
Mask Airways
Definition
good seal essential to PPV
PPV >20cmH2O can cause gastric distention
Term
Difficult Mask Airway Techniques
Definition
-utilize oral or nasal airway
-displace mandible anteriorly with small fingers on angle of jaw
-2 person bag/mask technique
Term
Manuel Resuscitation Bags
Definition
AKA AMBU bags
Self-inflating
must have high fresh gas flow
non-rebreather valve
Term
Standard Internal and External diameters for breathing equip.
Definition
Internal Diameter: 15mm
External Diameter: 22mm
Term
Laryngoscope Function
Definition
displace tongue, elevate epiglottis, and expose vocal cords
Term
Larygoscope types
Definition
Mac-curved blade
Miller-straight blade
Term
Larygoscope light source
Definition
either fiberoptic (stays cool & easier to sterilize) or lightbulb (better illumination but harder to sterilize)
Term
Laryngoscope Handles
Definition
rough surface for better grip
house batteries for light source
various widths and lengths
Term
FOB (flexible fiberoptic bronchoscopy)
Definition
coated glass fibers transmit light by internal reflection
3 channels-light, image, & aspiration
good for dif. intubations or patient's with unstable C-spines.
Term
GlideScope
Definition
video based larygoscope
curved plastic blade
2 LED's for light source
Term
Endotracheal tubes
Definition
increase resistance
decrease deadspace
Usually made of PVC
supports combustion
bevel opening faces left
murphy's eye on the right
Term
ET Tube Cuffs
Definition
High vol., low pressure cuff
inflated via pilot balloon
record depth from mark in cm at teeth
Term
Nasal RAE tubes
Definition
greater resistance than ET tube
opening faces up
inserted into nares
used for oropharyngeal surgery or dental extractions
Term
Oral RAE tubes
Definition
opening faces down by chin
good for tonsillectomies and facial surgeries
Term
Laser Tubes
Definition
fill cuff with saline & methylene blue
Laser Shield 2= teflon outside, aluminum inside. Use with KTP or CO2 lasers.

Laser flex- stainless steel tube
Term
Double Lumen Endobronchial Tube
Definition
ventilates only one lung while other lung is operated on.
Term
Bronchial blockers
Definition
catheters with balloon tip
used with single lumen ET tube
less traumatic than double lumen tube & small enough to be used in kids.
Term
Stylet
Definition
malleable metal or plastic that helps shape the ET tube to aid in intubation
Term
Magill Forceps
Definition
aid in nasal rae tube placement
Term
Gum-Elastic Bougie
Definition
slid through vocal cords and ET tube is passed over it through the vocal cords in difficult intubations or to exchange ET tubes.
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