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