Procedure
How can you tell if the ETT has been placed properly?
CXR
What is the purpose of the Murphy Eye?
alternate pathway if obstruction occurs
During nasotracheal intubation, where should the bevel be facing?
Toward the septum
Avoid placing tape on which areas of the face?
Soft tissue (tip of nose, earlobes)
How must space should you leave between the patient and the ETT tape?
One to two inches
Would you place a rolled towel under a patient’s shoulders or neck to better visualize the glottis during oral intubation?
Under the patients shoulders
What are the two types of laryngoscope?
Conventional & fiberoptic
ETT & TT Tubes are generally made from what kind of plastic?
PVC
Hoarseness after extubation is worrying, True of False?
False
Why is orotracheal intubation preferred for establishing an emergency airway?
Quickest and easiest route
What two items help with ETT insertion?
Water-soluble lube & stylet
When are Magill Forceps needed?
For nasal intubation
How is the Bivona ETT different from standard ETT tubes?
Sponge cuff instead of balloon
Give two examples of adverse reactions / complications.
Gagging/regurgitation, bleeding, lung infection, bronchospasm
Your sterile hand during suctioning is placed where?
Advancing the tube
If intubation fails, how long must you ventilate the patient before the next attempt?
Three to five minutes
What is the most common blade used in adult intubation?
No. 3 Macintosh
Describe the features of the Robertshaw tube.
Double cuffed, selective seal of left or right bronchus
Most common injuries associated with ET intubation?
Glottic edema, vocal cord inflammation, vocal cord ulcers, vocal cord polyps. vocal cord paralysis & laryngeal stenosis (less common, more serious)
Give three advantages of nasal intubation
Greater comfort, improved motivation, reduced WOB, better anchoring, improved mobility, aids feeding oral care suctioning & speech
What is recommended for patients going home with a TT or when humidity is less than optimal?
Double-cannula tubes
Ideal ETT tube length for both oral & nasal intubation
Oral: 21 - 25 at the lips
Nasal: 26 - 29cm at nares
What paralytic & anesthetic is typically given for orotracheal intubation?
anectine & versed
What is the primary cause of damage to tracheal airways?
Tube movement
When is suctioning applied?