Big Airway lecture pt 2

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Which of the following is a common indication for fiberoptic laryngoscopy?

Positioning of double-lumen tube and bronchial blocker

Administration of general anesthesia

Diagnosis of malfunction of a supraglottic airway device (correct)

Insertion of a nasogastric tube

What is the recommended technique for the intraoral approach to Glossopharyngeal Nerve block?

Aspirate air before injection (correct)

Use a 20-gauge needle for injection

Displace the hyoid bone towards the opposite side to be blocked

Inject 10 mL of local anesthetic into the tonsils

In which situation would the Bullard Rigid Indirect Laryngoscope be indicated?

Patient with limited neck movement and small mouth opening (correct)

Patient with full neck mobility and normal mouth opening

Patient with difficult upper airway due to obesity

Patient with anticipated difficult tracheal intubation

What does a diffuse glow on the Lighted Stylet indicate?

Esophageal position Signup and view all the answers

When is percutaneous airway insertion deemed necessary?

Only when noninvasive techniques fail to relieve 'cannot intubate, cannot ventilate' situation Signup and view all the answers

What is the purpose of the translaryngeal block?

Anesthetizes below the vocal cords Signup and view all the answers

What does the Glidescope offer that makes it advantageous in certain patients?

'Around a corner' visualization capability Signup and view all the answers

When might blind nasal intubation be used?

'Cannot intubate, cannot ventilate' situation Signup and view all the answers

What is the main advantage of the Cook Catheter?

'Exchange catheter' functionality Signup and view all the answers

What is a common complication associated with fiberoptic laryngoscopy?

Arytenoid cartilage dislocation Signup and view all the answers

What is the primary goal of the sniffing position during laryngoscopy?

To optimize the laryngeal and pharyngeal axes Signup and view all the answers

In the sniffing position for laryngoscopy, how is the patient's head positioned?

Flexed on a pad and extended on the neck to align all axes Signup and view all the answers

What can be challenging when positioning obese patients in the sniffing position?

Dealing with fat pad on the back, requiring patient 'ramping' Signup and view all the answers

What is a key consideration in preparing for extubation after laryngoscopy?

Deep or awake extubation plan Signup and view all the answers

What are the criteria for extubation after a laryngoscopy procedure?

Adequate oxygenation and ventilation, along with neurologic intactness Signup and view all the answers

What is the purpose of 'ramping' a patient during positioning for laryngoscopy?

To address challenges posed by obesity Signup and view all the answers

Which position is considered controversial in its role in improving pharyngeal patency for patients with sleep apnea?

'Head neutral' position with no alignment of axes Signup and view all the answers

What does the sniffing position aim to achieve when raising the patient's head?

Align the oral and pharyngeal axes Signup and view all the answers

'Deep' or 'awake' extubation plan is an initial consideration before which phase?

'Deep' or 'awake' extubation plan before actual extubation Signup and view all the answers

What is one of the challenges when positioning obese patients in the sniffing position?

'Ramping' to address fat pad on back Signup and view all the answers

What is the purpose of the supraglottic airway devices?

To seal the pharynx between the respiratory and digestive tracts Signup and view all the answers

Which LMA device has a gastric tube to decompress the stomach?

LMA ProSeal Signup and view all the answers

What is an advantage of using supraglottic airway devices compared to endotracheal tubes?

Less risk of gastric aspiration Signup and view all the answers

What is a relative contraindication for using supraglottic airway devices in the elective setting?

Suspected or known abnormalities in supraglottic anatomy Signup and view all the answers

What should be done during insertion of a LMA according to the provided information?

Insert the LMA into the mouth and advance, following the palate and posterior pharyngeal wall until resistance is met Signup and view all the answers

What is a potential complication associated with improper placement of a supraglottic airway device?

Increased risk of aspiration Signup and view all the answers

What role does the Combitube play in airway management?

Can function as either an endotracheal device or esophageal obturator Signup and view all the answers

What distinguishes the King Laryngeal Tube from other supraglottic airway devices?

Specific anatomically shaped tube Signup and view all the answers

In Retrograde Intubation/ Seldinger Cricothyrotomy, what is a potential serious problem related to the technique?

Kinking of the guidewire Signup and view all the answers

What is the primary purpose of Percutaneous Translaryngeal Jet Ventilation (PTJV)?

To deliver tidal volume of air using a 14 gauge catheter Signup and view all the answers

Which condition is characterized by poorly developed or absent bridge of the nose, microcephaly, and cervical spine abnormalities?

Meckel syndrome Signup and view all the answers

What is the primary respiratory challenge associated with Alpert syndrome?

Stiff joints and upper airway obstruction Signup and view all the answers

What distinguishes Goldenhar syndrome from other conditions listed in the text?

Auricular and ocular defects Signup and view all the answers

What is the key feature of Von Recklinghausen disease as highlighted in the text?

Increased incidence of pheochromocytoma Signup and view all the answers

What is the primary anatomical abnormality associated with Cretinism?

Macroglossia Signup and view all the answers

Which condition is known for muscle deposits leading to macroglossia?

Pompe disease Signup and view all the answers

What is the main challenge associated with Meckel syndrome?

Occipitalization of atlas and cervical spine abnormalities Signup and view all the answers

What is the distinguishing feature of Hunter syndrome from other conditions listed?

Stiff joints and upper airway obstruction due to infiltration of lymphoid tissue Signup and view all the answers