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Principles II Test III Face & Neck Surgeries slides 16-19
..but what I heard was "Chopper, sick balls..!"
6
Nursing
Graduate
11/21/2009

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Cards

Term
Should extubation on a pt with arch bars be done deep or fully awake?
Definition
Fully awake!
Term
What should be done before and after a wired-jaw surgery?
Definition

1) tell the pt that they will not be able to open their mouth after the surgery (they may freak out after emergence!)

2) BEFORE the ETT is removed, wire cutters should be at bedside, just in case there is an airway emergency!

Term
Edema is a huge concern with maxilofacial surgeries.  What is an appropriate airway alternative for extubation w/ (head/neck) edema?
Definition
Awake extubation with a exchange catheter (Bougie) in place.
Term
During a tracheostomy, the surgeon will want the cuff down and the ETT pulled back slightly.  Where wil the tube be then?  What will happen to the tidal volume?
Definition

1) The ETT will be at the cords

2) tidal volume will decrease d/t loss of cuff

Term
What should be done immediately after a tracheostomy is performed?
Definition
Hand bag the pt through the trachea and look for ETCO2 (tell the surgeon, "I've got end-tidal CO2" if you do; yell out "Armageddon!" if you don't)
Term
For a tracheostomy, the surgeon will more than likely be using a Bovie and the pt should be placed on 100% 02 UNTIL the surgeon is ready to cut.  What should you look out for?
Definition
Airway fire!
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