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 Bagging with ETT RR during CPR 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 Decrease RR to retain CO2 2 breaths : 30 compressions 8-10 breaths / min 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: slightly removes stylet Assistant: hands ETT to Intubator Assistant: completely removes stylet and inflates cuff Assistant: removes mask from ambu bag 1 Amount of secretions suctioned 2 Pressure Support (PS) 3 PEEP 4 pH 5 RSBI (RR/Vt) 6 Need for suctioning 7 ___ cuff leak test Negative 0 - 6 < 6x / day < 8 (ideally <5) > 7.33 with acceptable PaCO2 < 2.5ml/hr < 105 1 PaO2 2 Minute Ventilation (MV) 3 P/F ratio 4 FiO2 5 SBT 6 Vd/Vt 7 P0.1 8 MIP > 150-200 < 0.5 < 6cmH2O < 0.6 30-120 minutes > 80mmHg < -25cmH2O < 10LPM 1 Cardiac Oscillitation - synchronized to heart rate 2 Inadequate Seal - leaky or deflated ETT/trach cuff 3 Bronchospasm - seen in obstructive diseases 4 Curare Cleft - inadequate sedation and muscle relaxation 1 Distal XLT 2 Blue Line Suction-Aide 3 Passy-Muir Valve 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 One-way speaking valve that opens on inhalation, allowing for phonation and strengthening of cough. 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. 1 Distal XLT 2 Bivona Fome Cuff 3 Passy-Muir valve 4 Blue Line Ultra Suction Aid 5 Proximal XLT 6 Blue Line Talk
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