Matching Pairs RC OralOnline version Mini matching games to survive the final oral Part 1: BMV Part 2: Intubation Part 3: Extubation criteria Part 4: EtCO2 waveforms Part 5: Identifying trachs Part 6: Trach indications by Faith Gladstein 1 Bagging with ETT RR during CPR 2 Bagging with ETT with stable patient 3 BMV with alkalotic patient 4 BMV RR during CPR 5 BMV with acidotic patient 10-12 breaths / min Increase RR to blow off CO2 2 breaths : 30 compressions Decrease RR to retain CO2 8-10 breaths / min 1 Intubator: ETT placed with proximal end of cuff 2cm past vocal cords 2 Intubator: visualizes vocal cords 3 Intubator: visualizes epiglottis 4 Intubator: ETT is at tip of laryngeal inlet Assistant: hands ETT to Intubator Assistant: completely removes stylet and inflates cuff Assistant: slightly removes stylet Assistant: removes mask from ambu bag 1 pH 2 ___ cuff leak test 3 Amount of secretions suctioned 4 RSBI (RR/Vt) 5 Need for suctioning 6 PEEP 7 Pressure Support (PS) < 105 < 6x / day Negative > 7.33 with acceptable PaCO2 0 - 6 < 8 (ideally <5) < 2.5ml/hr 1 FiO2 2 MIP 3 PaO2 4 Vd/Vt 5 P/F ratio 6 Minute Ventilation (MV) 7 P0.1 8 SBT > 150-200 < 6cmH2O < -25cmH2O < 0.5 > 80mmHg < 0.6 < 10LPM 30-120 minutes 1 Curare Cleft - inadequate sedation and muscle relaxation 2 Cardiac Oscillitation - synchronized to heart rate 3 Inadequate Seal - leaky or deflated ETT/trach cuff 4 Bronchospasm - seen in obstructive diseases 1 Passy-Muir Valve 2 Distal XLT 3 Blue Line Suction-Aide 4 Fome Cuff 5 Blue Line Talk 6 Proximal XLT Can bypass a tracheal stenosis or tracheomalacia, promoting healing Suctioning above the cuff and enhanced safety through ability to connect to ventilator even without inner cannula (good for ICU) Increased skin-to-tracheal wall distance, seen in thick neck/obese patients or brittle neck tissues Contours around unusual tracheal anatomy (stenosis, tracheomalacia, tumour) to create an adequate seal Assists with vocal cord function in achieving phonation. Requires arm and hand strength to do it themselves. One-way speaking valve that opens on inhalation, allowing for phonation and strengthening of cough. 1 Distal XLT 2 Bivona Fome Cuff 3 Blue Line Talk 4 Proximal XLT 5 Passy-Muir valve 6 Blue Line Ultra Suction Aid
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