Airway Management Techniques

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Questions and Answers

What does the 'R' in the Roman mnemonic stand for in evaluating difficult bag-mask ventilation?

Radiation or resistance to ventilation.

Identify two factors included in the RODS mnemonic that relate to airway difficulty.

Restricted mouth opening and resistance to ventilation.

Explain the significance of the Mallampati classification in airway management.

It assesses the visibility of parts of the mouth to predict intubation difficulty.

What is the 3-3-2 rule used for in difficult airway management?

<p>It helps assess airway anatomy by measuring the distances around the mouth and larynx.</p> Signup and view all the answers

What potential challenges does obesity present according to the mnemonics provided?

<p>It can contribute to both difficult ventilation and device placement.</p> Signup and view all the answers

Describe what the 'S' in RODS refers to in the context of airway intervention.

<p>Obstruction, which indicates blockages in the airway.</p> Signup and view all the answers

In the context of the mnemonics discussed, how does age influence airway management?

<p>Older age can impact the airway's anatomy and complicate ventilation.</p> Signup and view all the answers

Why is it recommended to use LEMON over HEAVEN for difficult airway assessment?

<p>LEMON provides clearer criteria for bedside application compared to HEAVEN.</p> Signup and view all the answers

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Flashcards

ROMAN mnemonic

A mnemonic for evaluating potential issues during bag-mask ventilation by considering factors such as radiation or resistance to ventilation, obstruction, obesity, Mallampati score, gender, age, and dentition.

Radiation or resistance to ventilation (ROMAN)

Suggests a patient may experience difficulty with bag-mask ventilation due to airflow obstructions or resistance.

RODS mnemonic

A mnemonic for assessing potential issues with placing extraglottic devices like the i-gel or King LT.

Restricted mouth opening (RODS)

Indicates a potential difficulty in placing extraglottic airway devices, suggesting a restricted opening of the mouth.

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Mallampati classification

A classification system for assessing the visibility of anatomical structures in the mouth, used to predict difficulty in airway management.

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3-3-2 Rule

A rule for classifying different levels of difficulty in airway management, based on the visibility of certain structures in the mouth.

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LEMON mnemonic

A mnemonic for evaluating difficult airways during intubation, focusing on factors such as: Look externally, Evaluate, Mallampati, Obstruction, and Neck mobility.

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Thyromental distance

The distance between the thyroid prominence – also known as the Adam's apple – and the chin, which can influence the difficulty of intubation.

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Study Notes

Airway Management

  • The 3-3-2 Rule: Three fingers are placed along the floor of the mouth, starting at the chin. Two fingers are placed on the larynx.
  • Roman Mnemonic (Difficult Bag-Mask Ventilation): Used to identify risk factors for difficult bag-mask ventilation: Radiation/resistance to ventilation, Obstruction (obesity, sleep apnea), Mallampati classification (difficulty in visualizing the oral cavity), Male gender, Mask seal issues, Age, and missing teeth.
  • RODS Mnemonic (Difficult Extraglottic Device Placement): Used to identify risk factors for difficult extraglottic device placement: Restricted mouth opening, Obstruction (obesity, sleep apnea), Distorted anatomy, and Short thyromental distance.
  • HEAVEN Mnemonic (Predicting Difficulty): Components include fluid in the airway, exsanguination (severe blood loss), neck mobility, and other anatomic or physiologic challenges.
  • LEMON Mnemonic (Assessment): Used to evaluate and determine if intubation is necessary. Crucially, it helps decide if a patient is a good candidate for RSI even if the patient has difficulties.
  • Difficult Intubation: This doesn't rule out RSI (rapid sequence intubation). The important factor is whether successful intubation is likely, or if ventilation with bag-mask or an EGD will be better.

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