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Intro. Airway Management -- Eval. of the Airway
First quarter airway management info. for AA students
27
Other
Graduate
08/30/2010

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Cards

Term
BMV
Definition
bag-mask ventilaion
a method of PPV
after induction but before intubation
Term
Intubation
Definition
placement of the ET tube into the trachea
must have a clear view of rima glottidis
protects lower airway from aspiration
Term
What does "difficult airway" imply?
Definition
-difficult mask ventilation
-laryngoscopy with poor view
-difficult ET tube placement
Term
Difficult Mask Ventilation: Definition
Definition
inability of a trained anesthetist to maintain a patient's SpO2 about 90% using face mask ventilation
Term
Difficult Intubation: Definition
Definition
inability to place an endotracheal tube within 10 min. or 3 attempts at direct laryngoscopy.
Term
Causes of a difficult mask ventilation
Definition
-poor seal
-large vol. leaks
-excessive resistance (UAO)
incidence (HIGH) at 0.08-0.5% cases
Term
Phsyical attributes that are risk factors for difficult mask ventilation
Definition
-edentulous
-obese
-older than 55
-large jaw
-beards
Term
Pathologic risk factors for poor mask ventilation
Definition
-snoring/sleep apnea
-pharyngeal pathology
-facial deformities
-skin sensitivity (burns)
Term
Cormack Lehane grade >3
Definition
associated with difficult laryngoscopy
depends on practitioner's skill & experience
Term
C & L grade 1
Definition
entire laryngeal aperture visible
Term
C & L grade 2
Definition
just posterior portion of laryngeal aperture is visible
Term
C & L grade 3
Definition
only the epiglottis is visible
Term
C & L grade 4
Definition
only soft palate is visible
Term
occurrence of an inability to intubate or ventilate
Definition
0.1-2 in 10,000 cases
Term
Best source of info. about the airway...
Definition
Old anesthesia record with airway notes
Term
Retrognathy
Definition
recessed chin
Term
micrognathia
Definition
very small chin
Term
acromegaly
Definition
very large chin
Term
prognathism
Definition
underbite/ prominent chin
Term
Sign of a supraglottic lesion
Definition
inspiratory stridor
Term
sign of a subglottic lesion
Definition
inspiratory and expiratory stridor
Term
TMJ
Definition
temperomandibular joint
tranlocation and hinge like motion
Term
How do we assess translocation of TMJ?
Definition
Lip bit test
Term
What is adequate interincisor distance?
Definition
3 cm
Term
Dentition that may interfere with laryngoscopy...
Definition
prominent maxillary inscisors
caps/crowns
poor dentition
Term
Mallampoti Classes
Definition
1-4
1 is best, 4 is worst
Term
TMD
Definition
thyromental distance (3 finger breadths)
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