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if the inner cannula of a fenestrated tracheostomy tube is removed...
air may pass through the hole in outer cannula allowing speech
contraindications to anesthesia face mask
trauma to face
beard
abnormal anatomy
because the LMA does not protect the airways from regurgitation patient must not - for several hours before insertion
eat
compressions for infant
-60 to -80
conditions requiring emergency tracheal intubation
accidental excavation of mechanical vent patient
upper airway obstruction
massive hemoptysis
before the placement of the PMV, the patients cuff must be - and the airways -
deflated
suctioned
conditions requiring airway management
airway compromise
respiratory failure
protect the airway
similar to duck bill resuscitator but opens when breath is delivered
leaf valve manual resuscitator
aarc clinical practice guidelines nasal tracheal suctioning indications
inability to clear secretions
audible evidence of secretions in large airways the best cough effort
airway obstructions can be caused by
retained secretions
foreign bodies
structural changes
must do before suctioning to prevent hypoxemia
hyperoxygenate and hyperinflation
provide ventilation when CPR is preformed
manual resuscitators
maintains the patient\'s airways by lying between the base of the tongue in the posterior wall of the pharynx
nasopharyngeal
the most commonly used tracheostomy and ventilator speaking valve
PMV
like the tracheostomy button but it has a one-way valve on the proxmil end of the tube
Kistner button
suctioning removes
secretions and other semi-liquid fluids
the only contraindications establishing an artificial airway
DNR
in an ET tube the cuff is permanently bonded to the tube body and seals off the - for protecting from aspiration or for - ventilation
lower airway
positive pressure
uses diaphragm instead of the spring loaded valve on bag is compressed about opened and volume is delivered into the lungs
duck bill manual resuscitators
has two cuffs that sell off at esophagus and upper Airway to allow for ventilation
king tube
before during and after a procedure you should monitor
breath sounds
spo2
rr
hr
sputum
this is an alternative to a face mask
laryngeal mask airway
narrowest portion of an adult airway
glottis
- opens on inspiration closes on experation
PMV
commonly used to facilitate manual ventilation
oropharyngeal airway
closed suction catheter should be replaced every
24 to 48 hours
coude-tip suctioning catheter
red
curved tip used to increase the likelihood of left mainstem bronchial access
most common indication for LMA
elective surgical procedure
additional side port ensures gas flow of the main port became obstructed
Murphy\'s eye
what is used for removing foreign bodies of tissue masses
bronchoscopy
tolerated by conscious patients and less commonly used facilitate nasotracheal suctioning
nasopharyngeal airway
what can be more effective than normal saline but requires a physician\'s order
acetylcysteine or sodium bicarb
artificial airways that can be inserted through the pharynx
oral intubation
nasal intubation
size of mask adults (70-100)
5
mask size for children(20-30)
2.5
inserted through a surgically created opening directly into the trachea
tracheostomy tubes
size 4/red for patient height of
61-71
learning captive place within the outer cannula but can be removed for cleaning or if it becomes obstructed
removable inner cannula
tracheal airways extend beyond the - in to the trachea
pharynx
has no cuff at the distal end
no 15 mm adapter
found in patients with long term need airways
Jackson Tracheostomy tube
EOA
esophageal obturator airway
mask size for neonates/infants (up to 5)
1
spoon shaped mask that is inserted and prevents thr tip of the epiglottis from falling back and blockings the lumen of the tube
LMA
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