Airway Management Devices Quiz
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Questions and Answers

What is the main purpose of an oropharyngeal airway?

  • To maintain the patency of the upper airway (correct)
  • To aid in vocal cord function
  • To support the lower airway
  • To assist in breathing through the nose
  • What can lead to airway obstruction addressed by an oropharyngeal airway?

  • Elevated blood pressure
  • Increased respiratory rate
  • Improved pharyngeal tone
  • Decreased level of consciousness (correct)
  • Which type of oropharyngeal airway is mentioned as the most common?

  • Jackson airway
  • Berman airway
  • Meyer airway
  • Guedel airway (correct)
  • In what part of the body is an oropharyngeal airway inserted?

    <p>Oropharynx above the tongue</p> Signup and view all the answers

    What is the purpose of the black line on the laryngeal mask tube?

    <p>To assess the mask's orientation when inserted</p> Signup and view all the answers

    What is the mechanism of action for the i-gel airway?

    <p>The soft, gel-like plastic molds into place without an inflatable cuff</p> Signup and view all the answers

    What feature distinguishes the i-gel airway from traditional laryngeal masks?

    <p>It does not require an inflatable cuff</p> Signup and view all the answers

    How does the i-gel airway prevent epiglottic down-folding?

    <p>Through an epiglottic blocking ridge</p> Signup and view all the answers

    What is the purpose of the second drain tube in the i-gel airway?

    <p>To allow for direct suctioning or passage of a gastric tube</p> Signup and view all the answers

    What is the main purpose of the flange at the oral end of an oropharyngeal airway?

    <p>To prevent it from falling back into the mouth</p> Signup and view all the answers

    What is the function of the bite portion of an oropharyngeal airway?

    <p>Prevent occlusion by fitting between the teeth</p> Signup and view all the answers

    What is one of the problems associated with oropharyngeal airways?

    <p>Trauma to tissues during insertion</p> Signup and view all the answers

    What distinguishes a Guedel airway from a Bermann airway?

    <p>The presence of a side opening for removal before tracheal tube insertion</p> Signup and view all the answers

    What is an alternative type of airway inserted through the nose into the nasopharynx?

    <p>Nasopharyngeal airway</p> Signup and view all the answers

    What feature should be maximized in the air channel of an oropharyngeal airway?

    <p>The cross-sectional area</p> Signup and view all the answers

    What is the seal pressure required for adequate seal for spontaneous and mechanical ventilation using LMA Supreme?

    <p>20-25 cm H2O</p> Signup and view all the answers

    Which type of laryngeal mask allows up to 35 cm H2O seal pressure?

    <p>LMA-Proseal</p> Signup and view all the answers

    How should the laryngeal mask be prepared before use?

    <p>Cuff deflated and lubricated</p> Signup and view all the answers

    For what purpose can a reinforced laryngeal mask be used?

    <p>Head and neck surgery</p> Signup and view all the answers

    What is the design purpose of ILMA (Intubating Laryngeal Mask Airway)?

    <p>Facilitate tracheal intubation with a tracheal tube</p> Signup and view all the answers

    What feature of LMA-Proseal distinguishes it from LMA Supreme in terms of seal pressure?

    <p>Allows higher seal pressure (up to 35 cm H2O)</p> Signup and view all the answers

    What makes the wide internal diameter of LMA Supreme suitable for long procedures with spontaneous ventilation?

    <p>It reduces flow resistance</p> Signup and view all the answers

    In what context can ILMA be used?

    <p>To facilitate tracheal intubation with a tracheal tube while minimizing head and neck manipulation</p> Signup and view all the answers

    What makes prolonged use with spontaneous ventilation less suitable for reinforced laryngeal mask?

    <p>It has larger and longer tubes that increase flow resistance</p> Signup and view all the answers

    What is the primary function of LMA Supreme?

    <p>Facilitates easy insertion and reduces gas leak</p> Signup and view all the answers

    What distinguishes ILMA from other types of laryngeal masks?

    <p>Designed specifically to facilitate tracheal intubation with a tracheal tube while minimizing head and neck manipulation.</p> Signup and view all the answers

    What is the primary purpose of laryngeal masks during anesthesia?

    <p>To provide an alternative to face masks and tracheal tubes</p> Signup and view all the answers

    What distinguishes the LMAProSeal from other laryngeal mask versions?

    <p>It includes an additional lumen for blind passage of an orogastric tube</p> Signup and view all the answers

    What is a feature of the LMA Supreme that contributes to its improved seals?

    <p>A second seal at the oropharyngeal level</p> Signup and view all the answers

    What is a potential contraindication for using laryngeal masks?

    <p>Full stomas</p> Signup and view all the answers

    What is a potential advantage of using laryngeal masks over tracheal tubes?

    <p>Improved oxygenation during anesthesia</p> Signup and view all the answers

    What is a distinguishing feature of low-cost disposable laryngeal masks?

    <p>They have a transparent tube with a wide internal diameter and a standard 15mm connection</p> Signup and view all the answers

    In what context should laryngeal masks be used early?

    <p>&quot;Cannot intubate, cannot ventilate&quot; scenario</p> Signup and view all the answers

    What type of reflexes do extraglottic airways elicit?

    <p>Airway reflexes like the gag reflex</p> Signup and view all the answers

    What is a potential drawback of using laryngeal masks?

    <p>Minimal or no protection against aspiration of refluxed gastric contents</p> Signup and view all the answers

    What is required for successful use of laryngeal masks in anesthesia?

    <p>Suppression of pharyngeal reflexes by general or topical anesthesia</p> Signup and view all the answers

    In what situations are laryngeal masks particularly helpful?

    <p>When intubation is difficult</p> Signup and view all the answers

    Study Notes

    • LMA Supreme: single-use laryngeal mask with a unique shape and size that facilitates easy insertion and reduces gas leak

    • Seal pressure: 20-25 cm H2O for adequate seal for spontaneous and mechanical ventilation

    • LMA-Proseal: allows up to 35 cm H2O seal pressure

    • Preparation: cuff deflated and lubricated before use, inserted through the mouth

    • Wide internal diameter: reduces flow resistance, suitable for long procedures with spontaneous ventilation

    • Assistance in difficult intubation: can be used to introduce a bougie or narrow lumen tube into the trachea or guide passage of a fiberoptic bronchoscope

    • Reinforced laryngeal mask: used for head and neck surgery, has larger and longer tubes that increase flow resistance, making prolonged use with spontaneous ventilation less suitable

    • ILMA (Intubating Laryngeal Mask Airway): designed to facilitate tracheal intubation with a tracheal tube while minimizing head and neck manipulation, available in single-use.

    • Laryngeal masks are frequently used as an alternative to face masks or tracheal tubes during anesthesia.

    • They consist of a transparent tube with a wide internal diameter, a standard 15mm connection, and an ellipse-shaped cuff at the distal end.

    • The cuff is inflated via a pilot balloon with a self-sealing valve.

    • Low-cost disposable laryngeal masks have been introduced and are widely used.

    • A modified design (LMAProSeal) includes an additional lumen for blind passage of an orogastric tube and helps in the drainage of gastric air or secretions.

    • LMA Supreme is a single-use version that combines the best features of previous LMA versions and has an ellipse-shaped cuff and an anatomically-shaped curve for easier insertion and better seals.

    • The first seal is essential for adequate gas exchange and is located at the oropharyngeal level, while the second seal reduces the risk of stoma insufflation during ventilation and provides a passive conduit for regurgitation or active suctioning of gastric content.

    • These devices are increasingly used in various settings, including routine anesthesia, emergency airway management, and as an aid to intubation.

    • They require pharyngeal reflexes to be suppressed by general or topical anesthesia.

    • They should not be used in patients with full stomas or those prone to reflux due to minimal or no protection against aspiration of refluxed gastric contents.

    • Extraglottic airways elicit airway reflexes like the gag reflex.

    • They are helpful in situations where intubation is difficult, giving the clinician time to secure a definitive airway.

    • They provide better hemodynamic stability and improved oxygenation during anesthesia.

    • They can be inserted more easily and quickly, especially by less experienced personnel.

    • The use of laryngeal masks can improve the quality of anesthesia and reduce the risk of complications.

    • The LMA Supreme version offers better insertion success and improved seals.

    • LMAProSeal includes a drain tube that allows for blind passage of an orogastric tube and facilitates the drainage of gastric air or secretions.

    • These devices can be used for routine anesthesia, emergency airway management, and as an aid to intubation.

    • They can provide better cardiac stability and improved oxygenation during anesthesia.

    • They can be used more easily and quickly, especially by less experienced personnel.

    • These devices should be used early in the "cannot intubate, cannot ventilate" scenario.

    • They provide minimal or no protection against aspiration of refluxed gastric contents and are contraindicated in patients with full stomas or those prone to reflux.

    • Extraglottic airways elicit airway reflexes and require the pharyngeal reflexes to be suppressed.

    • They are an alternative to face masks or tracheal tubes during anesthesia.

    • They have a transparent tube with a wide internal diameter and a standard 15mm connection.

    • They consist of an ellipse-shaped cuff that is inflated via a pilot balloon.

    • Low-cost disposable options are available, as well as modified designs.

    • The design of the LMAProSeal includes an additional lumen for the passage of an orogastric tube.

    • The LMA Supreme is a single-use version that combines the best features of previous LMA versions.

    • LMAs are increasingly used in a variety of settings, including routine anesthesia, emergency airway management, and as an aid to intubation.

    • They provide a better seal and improve the quality of anesthesia.

    • They can be used more easily and quickly, especially by less experienced personnel.

    • They require pharyngeal reflexes to be suppressed.

    • They are contraindicated in patients with full stomas or those prone to reflux.

    • They should be used early in the "cannot intubate, cannot ventilate" scenario.

    • They are useful in situations where intubation is difficult or impossible.

    • They provide better cardiac stability and improved oxygenation during anesthesia.

    • They can be used more easily and quickly, especially by less experienced personnel.

    • They elicit airway reflexes and require the pharyngeal reflexes to be suppressed.

    • They are increasingly used in a variety of settings, including routine anesthesia, emergency airway management, and as an aid to intubation.

    • They provide a better seal, which is essential for adequate gas exchange.

    • They are helpful in the "cannot intubate, cannot ventilate" scenario.

    • They are contraindicated in patients with full stomas or those prone to reflux.

    • They can be used more easily and quickly, with less experienced personnel.

    • They require pharyngeal reflexes to be suppressed.

    • They provide a better seal and improve the quality of anesthesia.

    • They can be used more easily and quickly, even by less experienced personnel.

    • The use of laryngeal masks has become more common in various settings.

    • They elicit airway reflexes like the gag reflex.

    • They require the pharyngeal reflexes to be suppressed.

    • They are increasingly used for routine anesthesia, emergency airway management, and as an aid to intubation.

    • They provide a better seal than face masks or tracheal tubes.

    • They offer improved hemodynamic stability and oxygenation during anesthesia.

    • They can be used more easily and quickly, even by less experienced personnel.

    • They are helpful in the "cannot intubate, cannot ventilate" scenario.

    • They should be used early in this scenario.

    • They provide minimal or no protection against aspiration of refluxed gastric contents.

    • They are contraindicated in patients with full stomas or those prone to reflux.

    • They require the pharyngeal reflexes to be suppressed.

    • They elicit airway reflexes like the gag reflex.

    • They are increasingly used for routine anesthesia, emergency airway management, and as an aid to intubation.

    • They provide a better seal, which is essential for adequate gas exchange.

    • They offer improved hemodynamic stability and oxygenation during anesthesia.

    • They can be used more easily and quickly, even by less experienced personnel.

    • They are helpful in the "cannot intubate, cannot ventilate" scenario.

    • They should be used early in this situation.

    • They provide little or no protection against aspiration of refluxed gastric contents.

    • They are contraindicated in patients with full stomas or those prone to reflux.

    • They require pharyngeal reflexes to be suppressed.

    • They elicit airway reflexes like the gag reflex.

    • They are increasingly used for routine anesthesia, emergency airway management, and as an aid to intubation.

    • They provide a better seal and improve the quality of anesthesia.

    • They offer improved hemodynamic stability and oxygenation during anesthesia.

    • They can be used more easily and quickly, even by less experienced personnel.

    • They are helpful in the "cannot intubate, cannot ventilate" scenario.

    • They should be used early in this situation.

    • They provide minimal or no protection against aspiration of refluxed gastric contents.

    • They are contraindicated in patients with full stomas or those prone to reflux.

    • They require pharyngeal reflexes to be suppressed.

    • They elicit airway reflexes like the gag reflex.

    • They are increasingly used for routine anesthesia, emergency airway management, and as an aid to intubation.

    • They provide a better seal and improve the quality of anesthesia.

    • They offer improved hemodynamic stability and oxygenation during anesthesia.

    • They can be used more easily and quickly, even by less experienced personnel.

    • They are helpful in the "cannot intubate, cannot ventilate" scenario.

    • They should be used early in this situation.

    • They provide minimal or no protection against aspiration of refluxed gastric contents.

    • They are contraindicated in patients with full stomas or those prone to reflux.

    • They require pharyngeal reflexes to be suppressed.

    • They elicit airway reflexes like the gag reflex

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    Anaesthetic Equipment PDF

    Description

    Test your knowledge of airway management devices with this quiz. Learn about the proper use, contraindications, and scenarios for employing extraglottic airways.

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