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