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RCP160 - Difficult Airway Flashcards Questions and Answers 100% Solved
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RCP160 - Difficult Airway Flashcards
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RCP160 - Difficult Airway FlashcardsPt assessment: Observations of the face and neck (5 things) - answer-presence of
trauma
-presence of C-collar or other indications of an unstable neck
-Congenital abnormalities (mostly in infant & peds)
-Large incisors (big front teeth sometimes makes it harder to intubate)
-Circumference of the neck (thick necks from weight)
C-collars result in - answerlower Mallampati scores and prevent moving the patient into
a "sniff position"
Congenital Abnormality examples in infants and peds (3 things) - answer-Down's
syndrome (very large tongue, and anterior shifted epiglottis)
-Overbite.
-Pierre Robin Syndrome
Thyromental distance that can make an airway difficult - answer>6.5 cm
If a pt's GCS is < 9 than - answerPt has a ALOC, then we intubate
If a pt's GCS is > , then pt should be able to follow commands like (3 things) - answer-
The patient is able to open their mouth & stick out their tongue
-Able to move their own neck and left their chin.
-Able to protrude the jaw enough to create an underbite.
A Mallampati score of 3 or 4 qualifies - answeras a possible difficult airway.
For when the pt opens their mouth and sticks out their tongue, if the
__________________ is not possible then ___________________ - answer-"two-
finger" test
-this will be a difficult intubation.
Pt history and co-morbidities to assess before intubation (3 things) - answer-History of
previous difficult intubation, or difficult to bag.
-OSA history.
-History of adverse reactions to anesthesia meds.
Signs and symptoms of ineffective ventilation (2 things) - answer-Ineffective chest wall
movement or no visible sign of breathing.
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