BURP in Throid Cartilage View
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Questions and Answers

What does the acronym BURP stand for in relation to airway management?

Backward-Upward-Rightward Pressure

BURP pressure is applied to the cricoid cartilage.

False (B)

What is the primary purpose of the BURP maneuver?

To enhance the view of the vocal cords

Flashcards

BURP Technique (Backward-Upward-Rightward-Pressure)

A technique that involves applying pressure to the thyroid cartilage of the throat to improve the view of the vocal cords during laryngoscopy.

Plan B: Maintaining Oxygenation with SAD Insertion

A crucial step in airway management, especially if facemask ventilation or intubation is difficult or impossible. The primary goal is to ensure oxygenation for the patient by using a specialized device that sits above the vocal cords.

Supraglottic Airway Device (SAD)

A device that allows for ventilation by creating a passageway above the vocal cords, bypassing the need for intubation.

Failed SAD Ventilation

The situation when a Supraglottic Airway Device (SAD) is used but fails to provide adequate ventilation, necessitating a reassessment of airway management options.

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STOP AND THINK: Airway Management Options

A decision point after failed SAD ventilation where the medical team evaluates various options for managing the airway, considering the risks and benefits of each procedure.

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Wake the Patient Up

One option after failed SAD ventilation that involves waking the patient up to see if they can improve their own airway.

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Intubate Trachea via the SAD

One option after failed SAD ventilation involving inserting an endotracheal tube through the existing Supraglottic Airway Device (SAD) to secure the airway.

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Proceed Without Intubating the Trachea

One option after failed SAD ventilation where the medical team chooses not to intubate the trachea temporarily, managing the airway with other methods. This decision requires careful evaluation of the risks and benefits.

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Tracheostomy or Cricothyroidotomy

One option after failed SAD ventilation, often a drastic but necessary step when other methods fail, involving a surgical opening in the trachea or neck to provide an airway.

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Plan A: Facemask Ventilation and Tracheal Intubation

In airway management, this refers to a sequence of steps aimed at establishing secure ventilation, primarily through facemask ventilation and tracheal intubation.

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Factors that Complicate Facemask Ventilation and Tracheal Intubation

These are characteristics or conditions that can make facemask ventilation and tracheal intubation more challenging and increase the risk of complications.

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CONSIDER POSITIONING: Airway Management

A critical aspect of airway management involving careful positioning of the patient's head and neck to facilitate airway access and visualization during procedures.

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Try Different Types of Laryngoscopes

Expanding the options for visualizing the airway during laryngoscopy by trying different types of laryngoscopes, each with unique features and blade shapes.

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Arytenoid Cartilages

Small, paired cartilages within the larynx that are crucial for vocal cord movement and provide attachment points for muscles and ligaments.

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Corniculate Cartilages

Small, paired cartilages that reside on top of the arytenoid cartilages, contributing to the connection of tissues in the larynx.

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Cuneiform Cartilages

Small, paired cartilages that form a connection between the epiglottis and other laryngeal tissues.

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Epiglottis

A flap of cartilage that covers the opening of the windpipe (trachea) to prevent food or liquid from entering the lungs.

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Thyroid Cartilage

A large cartilage in the front of the larynx, the 'Adam's apple' in males, that protects the vocal cords and other internal structures.

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Cricoid Cartilage

A ring-shaped cartilage located below the thyroid cartilage that forms a complete ring around the trachea, providing support and stability.

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Macintosh Laryngoscope

A type of laryngoscope with a specific blade shape that provides a clear view of the vocal cords during intubation.

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Miller Laryngoscope

Another type of laryngoscope with a distinctive blade shape designed to lift and expose the epiglottis for better visualization.

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Advanced Techniques and Devices for Laryngoscopy

This refers to utilizing specialized tools to improve the view of the vocal cords during laryngoscopy, particularly when traditional techniques are challenging.

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Bimanual Laryngoscopy

A technique called 'Bimanual Laryngoscopy' involves using both hands to manipulate the airway structures, improving the view of the vocal cords.

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CO2 Insufflation

A technique involving the use of a device that uses CO2 insufflation to lift the epiglottis and improve visualization during laryngoscopy.

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Combined Strategies and Advanced Maneuvers

This involves utilizing a combination of techniques, such as Bimanual Laryngoscopy and CO2 Insufflation, to optimize visualization and intubation when traditional methods aren't successful.

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Tracheal Collapse

A potential complication during intubation that refers to the trachea collapsing or narrowing due to external pressure, making intubation difficult.

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Nasotracheal Intubation

This technique involves using a device that allows for ventilation and intubation through the nose, bypassing the need for traditional oral intubation.

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Tracheostomy Ventilation

A technique used for airway management that involves inserting a tube through the surgical opening created in the trachea during a tracheostomy.

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Cricothyroidotomy

A technique used for airway management that involves an emergency surgical opening in the trachea to provide an airway. It is typically performed through a small incision in the neck.

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Study Notes

B.U.R.P (Backward-Upward-Rightward-Pressure)

  • Criocoid pressure differs to BURP
  • BURP is the pressure used to enhance view of vocal cords
  • Pressure placed on THROID Cartilage (Not Cricoid)

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Description

This quiz covers the technique of BURP (Backward-Upward-Rightward-Pressure) and its application in enhancing the visibility of vocal cords. It explains how BURP differs from cricoid pressure and clarifies the anatomical focus on the throid cartilage. Test your understanding of this important technique in airway management.

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