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