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Flashcards in Airway Assessment Deck (20)
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0

What types of patients require an airway assessment?

any patient receiving any type of anesthesia

1

What are the two attachments for the vocal cords?

thyroid cartilage and arytenoids

2

What are the indications for intubation?

to provide PEEP
maintain airway patency
deliver predictable FiO2
maintain adequate oxygenation

3

What are the indications for a mask case?

no difficult airway
surgeon doesn't need access to head/neck
no bleeding/secretion issues in neck/throat
short case
no table position changes
any tongue obstruction should be easily removed with head tilt/chin lift

4

What are examples of surgical history that may predict a difficult airway?

tracheostomy or scar from previous one
neck dissection
UVPP
cervical spine procedures

5

What are some examples of co-morbidities that can predict a difficult airway

NM disease
cancer
lesions on the larynx
obesity
GERD
diabetes
OSA
genetic disorders (turner's, downs, etc.)
rheumatoid arthritis
thyroid disease

6

What are some considerations when inspecting the teeth?

length of incisors?
condition of teeth (missing, diseased, overbite)?
relationship of upper incisors to lower incisors?
dentures or implants?

7

What is a normal mouth opening distance?

2 fingerbreadths or 4 cm

8

What is a normal thyromental distance?

6.5 cm or 3 finger breadths

9

What is a normal hyoidmental distance?

2 finger breadths

10

How is full ROM of the neck described?

should be able to touch chin to their chest
90-165 degrees

11

What is visible in mallampati class 1?

faucile pillars, uvula, soft palate, hard palate

12

What is visible in a mallampati class 2?

uvula, fauces, hard and soft palate

13

what is visible in a mallampati class 3?

base of uvula, soft and hard palate

14

What is visible in a mallampti class 4?

hard palate only

15

What is required in an airway set up?

laryngoscope
tongue depressor
blades (2)
ETT (2)
stylet
ETCO2 detector
syringe
suction
ambu bag
LMA
oral and nasal airways in several sizes

16

What should you document pre-op?

dental assessment, ROM, mallampati class, TM distance, mouth opening

17

What should you document post extubation

dental assessment (teeth still intact), airway patency, adjunct airways required/used

18

What should you document post intubation?

visualization of the chords, trauma, equipment used, hemodynamic or respiratory changes

19

What are the components of an emergency airway cart?

rigid laryngoscope blades of different size and design
ETT of different sizes
varying types of ETT guides/stylets
supraglottic airways, such as LMA or combitubes
fiberoptic equipment
retrograde intubation equipment
transtracheal jet ventilation equipment
surgical airway equipment
ETCO2 monitor