Airway Care
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| Laryngoscope | Handle
*Always held in the left hand
*Batteries for light
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| Types of Blades | Curved/McIntosh Blade
Straight/Miller Blade
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| Curved/ McIntosh | fits into the vallecula, indirectly raises epiglottis (Adult)
can't see vocal cords Advance Blade
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| Straight/Miller | fits directly under the epiglottis (Preferred for Infant)
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| Laryngoscope Troubleshoot: | If light doesn't work
* Tighten bulb
* Check handle attachment
* Change blade
* Change batteries
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| Blade Sizes | Adult: Size 3
Pediatric Size: 2
Term Infant: Size 1
Pre-Term: Size 0
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| Stylet | Used to aid in ORAL intubation
Shapes the tube for easier insertion
End is to be recessed 1 cm above ET Tube
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| Magill Forceps | Used to aid in nasal intubation
Inserted in mouth to lift tube into trachea
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| Endotracheal Tubes Tube Sizes Pre/Full Term Infants: | Preterm Infant 2.5- 3.0
Full-term Infant 3.0-3.5
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| Endotracheal Tubes Tube Sizes Adult: Male | wt in kg\ 10
8.0-9.0
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| Endotracheal Tubes Tube Sizes Adult: Female | 7.0-8.0
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| Tube Markings | Oral Intubation: 21-25 cm mark at lip
Nasal Intubation: 26-29 cm mark at nare
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| Cuff Types | * High Pressure Low Volume, Low Compliance
* Low Pressure, High Volume, High Compliance, Floppy Cuff
* Cuff pressure should not exceed 20mmHg in order to allow circulation to the tracheal mucosa
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| Monitoring Cuff Pressure | Measured with a 3 way stopcock, syringe, pressure manometer
Cufflator: used to eliminate syringe, and manometer and stopcock cuff pressure should not exceed 25cmH20
If cuff reads 0 check connections
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| Endotracheal Tubes | Double- Lumen, Esophageal Tracheal Combitube, Laryngeal Mask Airway, Hi-Lo Evac Tubes
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| Double Lumen (Carlen's Tube)(DLT) | ET Tube with 2 independent lumens of different lengths
longer Tube: inserted in either the left or right main stem
shorter Tube: placed in the trachea above the carina
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| Double Lumen (Carlen's Tube)(DLT)2 | Each Lumen can ventilate one lung separately
or they can be connected via wye and share ventilation source
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| Indications for double lumen ETT | * Independent lung ventilation
* Lung Abscess Unilateral lung disease
* Pneumonectomy, Lobectomy, Esophageal Resection, Aortic * Aortic repair
* Bronchopleural Fistulas Trauma to 1 lung
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| Esophageal Tracheal Combitube EMERGENCY TRANSPORT | * Option for emergency airway management
* placed blindly
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| Laryngeal Mask Airway (LMA) | Positioned directly over the opening into the trachea (hypopharynx)
Intubate through the LMA Do Not Remove, Until Intubated
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| Hi-Lo Evac Tube | indicated for the use of oral or nasal endotracheal intubation
that requires continuous aspiration of subglottic secretions
continuous suction is provided via pilot tube connected to a vacuum 20mmHg
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| Hi-Lo Evac Tube Helps With: | Method used to reduce incidence of Ventilator Acquired
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