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 with alkalotic patient 2 Bagging with ETT with stable patient 3 BMV with acidotic patient 4 BMV RR during CPR 5 Bagging with ETT RR during CPR Increase RR to blow off CO2 Decrease RR to retain CO2 8-10 breaths / min 10-12 breaths / min 2 breaths : 30 compressions 1 Intubator: visualizes vocal cords 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 epiglottis Assistant: completely removes stylet and inflates cuff Assistant: removes mask from ambu bag Assistant: slightly removes stylet Assistant: hands ETT to Intubator 1 RSBI (RR/Vt) 2 pH 3 Amount of secretions suctioned 4 Need for suctioning 5 Pressure Support (PS) 6 ___ cuff leak test 7 PEEP 0 - 6 < 6x / day < 105 < 8 (ideally <5) Negative > 7.33 with acceptable PaCO2 < 2.5ml/hr 1 FiO2 2 PaO2 3 Vd/Vt 4 SBT 5 Minute Ventilation (MV) 6 P0.1 7 P/F ratio 8 MIP < 6cmH2O > 80mmHg 30-120 minutes < -25cmH2O < 0.5 > 150-200 < 0.6 < 10LPM 1 Inadequate Seal - leaky or deflated ETT/trach cuff 2 Bronchospasm - seen in obstructive diseases 3 Curare Cleft - inadequate sedation and muscle relaxation 4 Cardiac Oscillitation - synchronized to heart rate 1 Blue Line Suction-Aide 2 Passy-Muir Valve 3 Proximal XLT 4 Distal XLT 5 Fome Cuff 6 Blue Line Talk Contours around unusual tracheal anatomy (stenosis, tracheomalacia, tumour) to create an adequate seal 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. 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 Assists with vocal cord function in achieving phonation. Requires arm and hand strength to do it themselves. 1 Distal XLT 2 Proximal XLT 3 Passy-Muir valve 4 Blue Line Ultra Suction Aid 5 Blue Line Talk 6 Bivona Fome Cuff
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