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 BMV with acidotic patient 3 BMV with alkalotic patient 4 Bagging with ETT with stable patient 5 Bagging with ETT RR during CPR Decrease RR to retain CO2 10-12 breaths / min Increase RR to blow off CO2 2 breaths : 30 compressions 8-10 breaths / min 1 Intubator: visualizes vocal cords 2 Intubator: ETT is at tip of laryngeal inlet 3 Intubator: visualizes epiglottis 4 Intubator: ETT placed with proximal end of cuff 2cm past vocal cords Assistant: removes mask from ambu bag Assistant: completely removes stylet and inflates cuff Assistant: hands ETT to Intubator Assistant: slightly removes stylet 1 RSBI (RR/Vt) 2 ___ cuff leak test 3 pH 4 PEEP 5 Amount of secretions suctioned 6 Pressure Support (PS) 7 Need for suctioning < 8 (ideally <5) > 7.33 with acceptable PaCO2 < 2.5ml/hr < 105 < 6x / day 0 - 6 Negative 1 PaO2 2 SBT 3 MIP 4 Vd/Vt 5 FiO2 6 P0.1 7 Minute Ventilation (MV) 8 P/F ratio 30-120 minutes > 150-200 < 6cmH2O < -25cmH2O < 10LPM < 0.6 > 80mmHg < 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 Passy-Muir Valve 2 Blue Line Suction-Aide 3 Fome Cuff 4 Proximal XLT 5 Distal XLT 6 Blue Line Talk 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 Suctioning above the cuff and enhanced safety through ability to connect to ventilator even without inner cannula (good for ICU) 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 Contours around unusual tracheal anatomy (stenosis, tracheomalacia, tumour) to create an adequate seal 1 Proximal XLT 2 Blue Line Ultra Suction Aid 3 Bivona Fome Cuff 4 Passy-Muir valve 5 Distal XLT 6 Blue Line Talk
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