Term
| indications for oral and nasotracheal intubation |
|
Definition
. airway maintenance
. prevention of aspiration
. removal of secretions
. deep breathing
. mechanical ventilation
. O2 > 60% |
|
|
Term
| Complications for intubation |
|
Definition
. bronchospasm
. laryngospasm
. injury to teeth
. aspiration of blood,teeth and vomitus
. laceration of lips,tongue,pharyngeal mucosa,larynx
. failure to intubate |
|
|
Term
| Disadvantages of Intubation |
|
Definition
. Effective cough eliminated
. infection
. obstruction by secretions
. laryngeal or tracheal dmg (most serious)
. cuff problems |
|
|
Term
| Disadv's of Orotracheal intubation compared to nasotracheal |
|
Definition
. fixation of the tube is difficult
. extubation more common
. tube may kink
. pressure sores in corner of mouth
. uncomfortable to pt |
|
|
Term
| Disadv's of nasotracheal intubation compared to orotracheal intubation |
|
Definition
. more difficult to insert then oral
. size of tube is limited to size of naris
. SX catheter more difficult to insert
. increased trauma-pts awake
. increased tendency to obstruct
. intro of nasal bacteria into TB tree during procedure
. pressure necrosis of nasal mucosa
. increased Raw |
|
|
Term
| Name intubation equipment |
|
Definition
. Laryngoscope
. stylet
. magill forceps
. Sx equipment
. O2 equipment
. Syringes
. bite blocks, pharyngeal airways
. tape, moleskin
. topical anesthetic
. muscle relaxants |
|
|
Term
T or F
Easycap is an expired CO2 detector. |
|
Definition
|
|
Term
| What spontaneous parameters do you look at for Extubation? |
|
Definition
|
|
Term
T or F
Knowing when to extubate is not determined by your clinical judgement. |
|
Definition
|
|
Term
T or F
Development of stridor after 24-48 hours probably due to tracheal slough |
|
Definition
|
|
Term
| Post extubation procedures are? |
|
Definition
. cool aerosol and O2
. patient observed for signs of respiratory distress and stridor |
|
|
Term
|
Definition
|
|
Term
|
Definition
| hole of tracheotomy results |
|
|
Term
|
Definition
1. Head extended
2. 3-4 cm transverse incision halfway between sternal notch and cricoid cartilage
3. deep fascia and strap muscles separated midline
4. thyroid identified and retracted
5. 2-3rd cartilage rings exposed
6. stitch inserted into anterior tracheal wall with heavy black nylon suture
7. immediately above 2nd tracheal ring
8. trachea incised in upside down u-shape while traction put on suture
9. flap pulled gently downward
10.trach tube inserted |
|
|
Term
|
Definition
- maintain pt airway when intubation time is expected to be prolonged
. easier removal of secretions
. intolerance of oral/nasal tube
. when passage of oral/nasal tube is impossible
. as prophylactic procedure in anticipation of airway mgmt problems |
|
|
Term
| Advantages of Traceostomy |
|
Definition
. Easier pulmonary Toilet
. Decreased chance of displacement
. increased comfort
. decreased anatomic deadspace
. pt can swallow, eat |
|
|
Term
| Complications divided in to 3 categories |
|
Definition
1. complications of the operative procedure(RMSB intubation,hemorrage,pneumothorax,perforation of esophagus)
2. complications following the procedure(immediate)(airway obstruction,post-op hemorrage,infection)
3.Complications following the procedure(Tracheal stenosis-narrowing, tracheal malacia- softening of the tracheal rings, localized tracheal erosion |
|
|
Term
| 4 reasons to change the tube for trach care |
|
Definition
. need smaller size tube
. need different type of tube
. cuff blown
. tube obstructed |
|
|
Term
|
Definition
| An emergency incision into cricothyroid membrane for short term made between the thyroid cartilage and cricoid cartilage. |
|
|
Term
| contraindications of Nasotracheal intubation |
|
Definition
. nasal obstruction
. fractured nose
. sinusitis
. head injuries |
|
|
Term
| few indications of nasotracheal intubation |
|
Definition
. fractured jaw
. intolerance
. preferred for longer intubation >72 hrs |
|
|
