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