Term
| Should extubation on a pt with arch bars be done deep or fully awake? |
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Definition
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Term
| What should be done before and after a wired-jaw surgery? |
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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! |
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Term
| Edema is a huge concern with maxilofacial surgeries. What is an appropriate airway alternative for extubation w/ (head/neck) edema? |
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Definition
| Awake extubation with a exchange catheter (Bougie) in place. |
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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? |
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Definition
1) The ETT will be at the cords
2) tidal volume will decrease d/t loss of cuff |
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Term
| What should be done immediately after a tracheostomy is performed? |
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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) |
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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? |
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Definition
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