FISDAP Airway Management Potential effects of orotracheal intubation.(Ans- Secure airway, Protection against aspiration. Bleeding, hypoxia laryngeal swelling, laryngospasms, vocal cord, mucosal necrosis, barotrauma.
Potential effects of moving an intubated patient.(Ans- With a firmly secured tube the tip of the ET tube can move as much as 2 inches with head flexion and extension; with hyperflexion the tube can be pulled from the trachea completely. Hyperextension can cause the ET tube to be pushed further into the trachea. Consider C-collar to keep the head in neutral position.
When to exubate a patient?(Ans- Patients are rarely extubated in the prehospital setting. The only reason to consider extubation is if the patient is extremely intolerant of it or the ET tube is placed incorrectly. (Extremely combative, gagging or retching). It is typically safer to sedate the patient rather than extubate. Before performing field extubation, you should contact medical control or follow local protocols.
Potential effects of overinflation of the distal cuff.(Ans- Overinflation of the distal cuff may cause tissue necrosis of the tracheal wall.
Indications for airway suctioning.(Ans- When the patient's mouth or throat becomes filled with vomit, blood or secretions. Audible gurgling. 1 / 2
Gold standard for successful intubation.(Ans- The gold standard is endotracheal intubation; Gold standard for evidence of successful intubation is in-line capnography.
Indications for direct laryngoscopy and magill forceps.(Ans- If you are unable relieve a severe airway obstruction in an unresponsive patient with basic techniques.
Have Magill forceps available should you need to guide the ET tube between the vocal cords or if you encounter a foreign body obstruction during laryngoscopy.
Potential complications of endotracheal intubation.(Ans- Bleeding, hypoxia, laryngeal swelling, laryngospasm, vocal cord damage, mucosal necrosis, and barotrauma.
Anatomical place of a Miller blade.(Ans- The straight laryngoscope blade (Miller) is designed so that its tip will extend beneath the epiglottis and directly lift it up.
Anatomical placement of a Macintosh blade.(Ans- Curve of blade conforms to tongue and pharynx. The tip of the blade is placed in the vallecula.
Indications for nasotracheal intubation.(Ans- Nasotracheal intubation is indicated for patients who are breathing spontaneously but require definitive airway management to prevent further
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