Difficult Airway Algorithm Quiz

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Questions and Answers

What is the first step in the Difficult Airway Algorithm?

Determine if a difficult airway is predicted.

What should be done if a difficult airway is not predicted?

The airway is not considered difficult, and no further actions are needed.

What are the two pathways the algorithm indicates after confirming a difficult airway?

Call for assistance or determine if forced to act.

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

<p>Immediately proceed to Post Intubation Management (PIM).</p> Signup and view all the answers

If BMV is predicted to be unsuccessful, what subsequent actions should be considered?

<p>Video laryngoscope, flexible laryngoscopy, extraglottic devices, or cricothyrotomy.</p> Signup and view all the answers

What does RSI stand for, and when should it be utilized according to the algorithm?

<p>Rapid Sequence Intubation; it should be used during difficult airway management when physiology is stable.</p> Signup and view all the answers

What should be assessed after the success of the awake look/intubation?

<p>If awake look/intubation successful then PIM or RSI. If awake look/intubation not successful then proceed to VL (video Laryngoscopy) or flexible Laryngoscopy or EGD (extraglottic device) or cricothyrotomy.</p> Signup and view all the answers

What is the final step if forced to act and the one best intubation attempt fails?

<p>Proceed to Failed Airway algorithm.</p> Signup and view all the answers

What does PIM stand for and when is it utilized in the algorithm?

<p>Post Intubation Management; it is used depending on the case after intubation attempts.</p> Signup and view all the answers

In the context of this flowchart, why is it important to consult appropriate medical standards?

<p>To follow established practices and ensure patient safety in complex airway situations.</p> Signup and view all the answers

Flashcards

Difficult Airway

An airway is considered difficult when it's predicted that standard intubation techniques will be challenging.

Difficult Airway Algorithm

This is a structured approach for managing airways that are predicted to be difficult. It involves a series of decision points based on the patient's condition.

Call for Assistance

This is the first step in the algorithm. It signifies the need to involve additional medical personnel due to the anticipated complexity.

Forced to Act

This refers to a situation where immediate intervention is required to secure the airway, typically due to compromised oxygenation.

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Rapid Sequence Intubation (RSI)

This technique involves several medications and procedures that are administered sequentially and quickly to establish an airway when an immediate intervention is needed.

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Post Intubation Management (PIM)

This refers to the management of the airway after successful intubation, including strategies for maintaining oxygenation and ventilation.

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Bag-Mask Ventilation (BMV)

This technique involves using a bag and mask to provide artificial ventilation for the patient.

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Endoscopic Guided Device (EGD)

This technique involves using a flexible, fiberoptic scope to visualize and guide the placement of a breathing tube.

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Failed Airway

An airway is considered `failed' when attempts at intubation or ventilation are unsuccessful and the patient's oxygenation is compromised.

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Awake Look/ Intubation

This refers to a rapid assessment of the airway to assess its suitability for intubation before the procedure is attempted.

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Study Notes

Difficult Airway Algorithm

  • Difficult airway predicted: Initiate the algorithm if a difficult airway is anticipated.
  • Call for assistance: Alert additional personnel if a difficult airway is predicted..
  • Forced to act? A decision point for if they should force intubation.
    • No: Proceed to giving RSI drugs.
    • Yes: Proceed to failure to maintain oxygenation steps.
  • Failure to maintain oxygenation?
    • No: Proceed with checking if BMV or EGD is predicted to be successful.
    • Yes: Proceed to Failed airway steps
  • BMV or EGD predicted to be successful?
    • No: Proceed with checking if awake look/intubation is successful
    • Yes: Proceed to intubation predicted to be successful steps.
  • Awake look/intubation successful?
    • No: Proceed with video laryngoscope, flexible laryngoscopy, extraglottic device, or cricothyrotomy.
    • Yes: Proceed to intubation predicted to be successful steps
  • Intubation predicted to be successful?
    • No: Proceed with checking if physiology is OK;
    • Yes: Proceed to Physiology OK?
  • Physiology OK? (No apnea intolerance or rapid desaturation)
    • No: Proceed with PIM or RSI.
    • Yes: Proceed with RSI with double setup.
  • One best attempt successful?
    • No: Proceed to Failed airway steps
    • Yes: Proceed to PIM.
  • Failed airway: Proceed to the appropriate algorithm for the next steps.
  • PIM or RSI: A choice between postintubation management or rapid sequence intubation.
  • Go to main algorithm: Proceed to the main airway algorithm if the initial algorithm's step results in further actions.

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