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RCP 160 Cookies and Cream -The Difficult Airway
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RCP 160 Cookies and Cream -The Difficult AirwayCan you put a bronchoscope down a 6.5 E.T tube? ✔️Ans -Nope
Can certain patients only be intubated for airway protection and not
mechanical ventilation? ✔️Ans -Yes
What is the 3-3-2 score? ✔️Ans -Using the fingers held together, assess the
distance from the hyoid bone to the chin (should be at least three fingers)
thyroid cartilage to the floor of the mouth (at least two fingers).
What is the gold standard for intubation? ✔️Ans -Direct Laryngoscopy
What are examples of direct laryngoscopy? ✔️Ans -King Vision
glydescope
bronch
McGrath
What is the proper name for a bougie? ✔️Ans -airway exchange catheter
Can you ventilate with a cook's catheter? ✔️Ans -Yes
What is a king's tube? ✔️Ans -An airway rescue device similar to the blind
insertion airway device (Combitube), with proximal and distal balloon cuffs
designed to occlude the oropharynx and esophagus.
What is a LMA? ✔️Ans -A medical device that keeps a patient's airway open
during anesthesia or while they are unconscious. It is a type of supraglottic
airway device.
What is are supraglottic airways? ✔️Ans -A group of airway devices that
can be inserted into the pharynx to allow ventilation, oxygenation, and
administration of anesthetic gases, without the need for endotracheal
intubation.
,What are examples of a supraglottic airway? ✔️Ans -LMA, King's
(Combitube)
What is cricothyrotomy? ✔️Ans -A cricothyrotomy is an incision made
through the skin and cricothyroid membrane to establish a patent airway
during certain life-threatening situations, such as airway obstruction by a
foreign body, angioedema, or massive facial trauma.
Why do we intubate? ✔️Ans -Inability to protect and maintain patent
airway.
Failure of oxygenation or ventilation.
Anticipated need based on clinical course.
How would we identify a difficult airway? ✔️Ans -Past medical history
Basic Physical Exam
Thyromental Distance
Dr. Binnions "Lemon" Law
Mallampati Classification
What is rheumatoid arthritis? ✔️Ans -A chronic inflammatory disorder
affecting many joints, including those in the hands and feet.
The body's immune system attacks its own tissue, including joints.
What is ankylosing spondylitis? ✔️Ans -An inflammatory arthritis affecting
the spine and large joints.
What are cervical fixation devices? ✔️Ans -Devices surgeons use to
decompress and stabilize the neck.
What is Klippel-Fiel Syndrome? ✔️Ans -Short wide neck, reduction in
number of cervical vertebrae, and possible fusion of vertebrae.
Can thyroid or major neck surgeries cause a patient to have a difficult airway?
✔️Ans -Yes
, What is Pierre Robin Syndrome? ✔️Ans -Small jaw, cleft pallet, no gag
reflex, and downward displacement of tongue.
What is Acromegaly? ✔️Ans -Thickening of jaw, soft tissue structures of the
face associated with an overproduction of growth hormone by the pituitary
gland.
Can reduced jaw mobility cause a patient to have a difficult airway? ✔️Ans -
Yes
What is epiglottitis? ✔️Ans -A potentially life-threatening condition that
occurs when the tissue protecting the windpipe becomes inflamed.
Dr. Binnions Lemon Law consists of what? ✔️Ans -Look externally
Evaluate the 3-3-2 rule
Mallampati
Obstruction
Neck mobility
What is Mean Arterial Pressure (MAP)? ✔️Ans -The average arterial
pressure throughout one cardiac cycle, systole, and diastole. Normal is 70 to
100 mm Hg.
What is Stroke Volume? ✔️Ans -The volume of blood pumped out of the left
ventricle of the heart during each systolic cardiac contraction. Normal is 60 -
100 mL.
What is Cardiac Output? ✔️Ans -The quantity of blood pumped by the heart
in a given period of time, typically measured in liters per minute. Normal is 4-
8 L/min.
What is Cardiac Index? ✔️Ans -An assessment of the cardiac output value
based on the patient's size. Normal is 2.5 - 4 L/min/m2.
What is CaO2? ✔️Ans -Arterial oxygen content represents the amount of
oxygen delivered to the tissues. Normal is 20 vol%. Equation: ([SaO2 × Hb] ×
1.34)
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