Difficult Airway Algorithm Quiz
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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

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.

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Description

Test your knowledge on the Difficult Airway Algorithm. This quiz covers the various steps and decision points involved in managing a difficult airway. Assess your understanding of when and how to initiate specific interventions based on the predicted difficulty of intubation.

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