Difficult Airway Algorithm Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the first question to assess the need for intubation in an emergency airway management scenario?

Needs Intubation?

What should be done if the patient is unresponsive or near death?

Proceed to Crash Airway intervention.

If the airway is predicted to be difficult, what is the next step in the algorithm?

Proceed to Difficult Airway intervention.

What procedure is performed after confirming the need for intubation and assessing the patient's condition?

<p>Rapid Sequence Intubation (RSI) is performed.</p> Signup and view all the answers

What must be evaluated after attempting intubation?

<p>Successful Intubation?</p> Signup and view all the answers

What action should be taken if there is a failure to maintain oxygenation?

<p>Identify it as a Failed airway.</p> Signup and view all the answers

How many attempts at Orotracheal Intubation (OTI) should a clinician have before declaring a failed airway?

<p>Three attempts by an experienced operator.</p> Signup and view all the answers

What does the summary of the algorithm emphasize regarding airway management?

<p>A systematic approach to managing difficult airways.</p> Signup and view all the answers

What is the first question to evaluate in the difficult airway algorithm?

<p>Is the difficult airway predicted?</p> Signup and view all the answers

What action should be taken if a difficult airway is predicted?

<p>Call for assistance.</p> Signup and view all the answers

In the algorithm, if the clinician is forced to act, what is the next step?

<p>Proceed to give RSI drugs.</p> Signup and view all the answers

What should be checked if there is a failure to maintain oxygenation?

<p>Proceed to PIM.</p> Signup and view all the answers

What is the next step if BMV or EGD is predicted to be successful?

<p>Proceed with awake look/intubation.</p> Signup and view all the answers

What options are available if awake look/intubation is unsuccessful?

<p>Proceed with video laryngoscopy or flexible laryngoscopy or extraglottic devices or cricothyrotomy.</p> Signup and view all the answers

What does 'physiology OK' indicate in the algorithm?

<p>Proceed with RSI with double setup or go to main algorithm.</p> Signup and view all the answers

What happens if one best attempt at intubation is successful?

<p>Proceed to PIM.</p> Signup and view all the answers

What are the possible outcomes in the case of a failed airway in the algorithm?

<p>Proceed to PIM.</p> Signup and view all the answers

What does PIM stand for in the context of airway management?

<p>Post intubation management.</p> Signup and view all the answers

What is the first step in managing a crash airway according to the algorithm?

<p>Maintain oxygenation.</p> Signup and view all the answers

What should be done if the intubation attempt is unsuccessful?

<p>Move to assess if bag ventilation is possible.</p> Signup and view all the answers

What dose of succinylcholine is recommended if unable to bag ventilate?

<p>2 mg/kg IVP.</p> Signup and view all the answers

If the patient fails to maintain oxygenation after the intubation attempts, what is the outcome?

<p>Failed airway.</p> Signup and view all the answers

What decision follows after three unsuccessful intubation attempts by an experienced operator?

<p>It is considered a failed airway.</p> Signup and view all the answers

What does the acronym IVP stand for in the context of administering succinylcholine?

<p>Intravenous push.</p> Signup and view all the answers

What is the key indicator to return to the previous step in the algorithm after attempting intubation?

<p>If bag ventilation is possible.</p> Signup and view all the answers

Why is it crucial to maintain oxygenation before proceeding with intubation attempts?

<p>It ensures tissue perfusion and reduces risks during airway interventions.</p> Signup and view all the answers

What is the primary rationale for administering succinylcholine in this algorithm?

<p>To facilitate intubation by inducing paralysis.</p> Signup and view all the answers

What does the algorithm suggest if someone is able to bag ventilate after an unsuccessful intubation?

<p>Return to reevaluate the intubation attempt.</p> Signup and view all the answers

What is the first step in the Failed Airway Algorithm when failed airway criteria are identified?

<p>Call for assistance.</p> Signup and view all the answers

What should be done if oxygenation is failing in the context of the Failed Airway Algorithm?

<p>Attempt to use an extraglottic device.</p> Signup and view all the answers

Under what condition should a cricothyrotomy be performed in the algorithm?

<p>If the use of an extraglottic device is contraindicated or if it is possible.</p> Signup and view all the answers

If oxygenation is maintained, what options are available in the Failed Airway Algorithm?

<p>Flexible endoscopy, videolaryngoscopy, extraglottic device, or cricothyrotomy.</p> Signup and view all the answers

What action should be taken if a cuffed Endotracheal tube (ETT) has not been successfully placed?

<p>Arrange for definitive airway management.</p> Signup and view all the answers

In managing a failed airway, what is the significance of post-intubation management?

<p>It is essential for monitoring and ensuring the patient's airway remains patent after intubation.</p> Signup and view all the answers

How does the Failed Airway Algorithm define 'failed airway criteria'?

<p>By identifying situations where proper ventilation or oxygenation cannot be maintained.</p> Signup and view all the answers

What modification is noted in the Failed Airway Algorithm in the provided content?

<p>It is modified from the Emergency Airway Algorithms in the Walls Manual of Emergency Airway Management.</p> Signup and view all the answers

What initial assessment action is taken to determine if further airway management is needed?

<p>Check whether oxygenation is failing.</p> Signup and view all the answers

Flashcards

Difficult airway prediction

The process of predicting the difficulty of intubating a patient.

Rapid Sequence Intubation (RSI)

An emergency procedure to secure the airway by inserting a tube into the trachea.

Failure to maintain oxygenation check

A technique used to assess the airway's ability to maintain oxygenation.

Cricothyrotomy

A surgical procedure involving an incision in the neck to provide an airway.

Signup and view all the flashcards

Post-intubation management (PIM)

A set of steps taken after a patient's airway is secured through intubation.

Signup and view all the flashcards

Bag-Mask Ventilation (BMV)

A breathing technique using a bag and mask to ventilate a patient.

Signup and view all the flashcards

Endoscopic Guided Device (EGD)

A device that helps visualize the trachea for intubation.

Signup and view all the flashcards

Awake look/intubation

A decision to intubate a patient while they are conscious.

Signup and view all the flashcards

Failed airway

A rescue procedure for failed airway attempts.

Signup and view all the flashcards

Difficult airway algorithm

A crucial step in the algorithm for managing difficult airways.

Signup and view all the flashcards

Failed Airway Algorithm

A set of steps used to manage a situation where a patient's airway cannot be secured by traditional methods.

Signup and view all the flashcards

Failed Airway Criteria

The point at which traditional methods of airway management (e.g., laryngeal mask airway, bag-valve-mask) have failed to secure a patient’s airway.

Signup and view all the flashcards

Maintaining Oxygenation

The process of ensuring a patient's airway remains open and that they are getting enough oxygen.

Signup and view all the flashcards

Extraglottic Device

A device that is inserted into the airway to create a seal above the vocal cords, allowing for ventilation.

Signup and view all the flashcards

Flexible Endoscopy

A technique for visualizing the airway using a flexible scope.

Signup and view all the flashcards

Videolaryngoscopy

A technique for visualizing the airway using a rigid scope.

Signup and view all the flashcards

Endotracheal Tube (ETT)

A tube inserted into the windpipe to provide a secure airway.

Signup and view all the flashcards

Post-intubation Management

The actions taken after a successful intubation to manage the airway.

Signup and view all the flashcards

Definitive Airway Management

The process of securing a definitive airway when initial attempts have failed.

Signup and view all the flashcards

Maintain oxygenation

The first step in managing a crash airway is to ensure the patient is receiving adequate oxygen. This can be done using various methods, such as a bag-valve mask or oxygen mask. Only proceed to the next step if oxygenation is successful.

Signup and view all the flashcards

Intubation attempt successful?

If you are successful in intubating the patient, move on to post-intubation management. This involves ensuring the airway remains secure and monitoring vital signs.

Signup and view all the flashcards

Unable to bag ventilate?

If you are unable to ventilate the patient with a bag-valve mask, this means the airway is obstructed and needs immediate intervention. You need to quickly establish an airway using other methods, such as intubation.

Signup and view all the flashcards

Administer succinylcholine (2mg/kg IVP)

If you are unable to intubate the patient, you need to administer a muscle relaxant like succinylcholine to facilitate intubation. This helps paralyze the muscles of the throat and allows for easier insertion of the endotracheal tube.

Signup and view all the flashcards

Attempt intubation

After administering succinylcholine, try intubating the patient again. If successful, move to post-intubation management.

Signup and view all the flashcards

Failure to maintain oxygenation?

If you fail to maintain adequate oxygenation to the patient, it indicates the airway is not secured and the patient is at risk. You need to seek assistance from a senior clinician or call for help immediately.

Signup and view all the flashcards

≥3 attempts by experienced operator?

When a skilled provider has attempted intubation three or more times and has been unsuccessful, the airway is considered a "failed airway." This requires a different approach and specialist expertise.

Signup and view all the flashcards

Crash airway

A crash airway is a situation where immediate airway management is required, usually in an emergency setting. This usually involves situations of respiratory distress or arrest, where the airway is compromised and needs to be secured quickly.

Signup and view all the flashcards

Intubation

A medical procedure for placing a tube into the windpipe (trachea) to secure an airway. This is often done in an emergency to ensure the patient can breathe effectively.

Signup and view all the flashcards

Difficult Airway

A medical situation where the normal intubation procedure is expected to be challenging or impossible to perform. Requires careful assessment and specialized techniques.

Signup and view all the flashcards

Orotracheal Intubation (OTI)

The process of inserting a tube (endotracheal tube) into the trachea via the mouth. Often involves specialized equipment and skills.

Signup and view all the flashcards

Airway Management Algorithm

A decision-making process that guides healthcare providers through a series of steps to evaluate and manage an emergency airway situation. It helps ensure a systematic and efficient approach.

Signup and view all the flashcards

Study Notes

Difficult Airway Algorithm

  • Difficult airway predicted: Call for assistance
  • Forced to act?: Give RSI drugs if yes, otherwise go to next step
  • Failure to maintain oxygenation?: If yes, failed airway. If no, go to next step
  • BMV or EGD predicted to be successful?: If yes, awake look/intubation successful?. If no, go to next step
  • Awake look/intubation successful?: If no, video laryngoscope/flexible laryngoscopy/extrvaglotic device/cricothyroidotomy. If yes, go to next step.
  • Physiology OK? (no apnea intolerance or rapid desaturation): if yes, RSI with double setup. If no go to next step
  • Intubation predicted to be successful?: If yes, PIM or RSI. If no, failed airway.
  • One best attempt successful?: If yes, PIM. If no, failed airway.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

More Like This

Airway Management Principles and Techniques
88 questions
Difficult Airway Algorithm Quiz
19 questions
Use Quizgecko on...
Browser
Browser