Term
| Whan devising a plan for EENT surgery, what should be considered? |
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Definition
| Pts airway alterations and how you will maintain it, select equipment that will allow for safe monitoring and ventilation while sharing an operative field with the surgeon, select appropriate drugs, devise and execute an appropriate extubation plan. |
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Term
| when evaluating the airway, what should be considered? |
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Definition
| infection, foreign body, tracheal stenosis, vochal chord dysfunction, tumor, goiter, edema, and airway obstruction |
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Term
| What two populations may have an increased risk for tracheal stenosis? |
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Definition
| Children who have been intubated for extended periods of time (extensive surgical hx) and pts who have had a trach |
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Term
| When planning for an EENT case, which three monitors are a MUST!!!! |
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Definition
| precordial/esophageal stethascope, capnography, and pulse ox |
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Term
| When moving the bed, what should always do? |
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Definition
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Term
| Signs of a circuit disconnect/extubation? |
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Definition
| loss of chest rise, loss of breath sounds, loss of ETCO2, loss of airway pressures, alarms blaring, decreased sats |
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Term
| What is the first sign of a circuit disconnect/extubation? |
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Definition
| loss of breath sounds (due to precordial use) |
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Term
| Signs of a loss of cuff seal? |
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Definition
| loss of airway pressures, decrease in TV, increased inspiratory pressure, smell of gas (and not from fiber bar ingestion) |
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Term
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Definition
| rise in peak airway pressures, decrease in inhaled TV |
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Term
| When are nasal RAEs useful? |
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Definition
| in maxillofacial surgeries or when jaw will be wired shut |
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Term
| When should you never use a nasal RAE? |
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Definition
| cribiform plate disruption |
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