Relier Pairs RC OralVersion en ligne 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 par Faith Gladstein 1 Bagging with ETT RR during CPR 2 BMV with acidotic patient 3 BMV with alkalotic patient 4 BMV RR during CPR 5 Bagging with ETT with stable patient Increase RR to blow off CO2 2 breaths : 30 compressions Decrease RR to retain CO2 8-10 breaths / min 10-12 breaths / min 1 Intubator: visualizes epiglottis 2 Intubator: visualizes vocal cords 3 Intubator: ETT placed with proximal end of cuff 2cm past vocal cords 4 Intubator: ETT is at tip of laryngeal inlet Assistant: removes mask from ambu bag Assistant: slightly removes stylet Assistant: hands ETT to Intubator Assistant: completely removes stylet and inflates cuff 1 Need for suctioning 2 ___ cuff leak test 3 RSBI (RR/Vt) 4 Pressure Support (PS) 5 Amount of secretions suctioned 6 PEEP 7 pH < 105 < 8 (ideally <5) Negative < 2.5ml/hr < 6x / day 0 - 6 > 7.33 with acceptable PaCO2 1 P0.1 2 Vd/Vt 3 P/F ratio 4 PaO2 5 MIP 6 FiO2 7 Minute Ventilation (MV) 8 SBT < 6cmH2O < 10LPM > 80mmHg > 150-200 < 0.5 < 0.6 < -25cmH2O 30-120 minutes 1 Bronchospasm - seen in obstructive diseases 2 Cardiac Oscillitation - synchronized to heart rate 3 Inadequate Seal - leaky or deflated ETT/trach cuff 4 Curare Cleft - inadequate sedation and muscle relaxation 1 Passy-Muir Valve 2 Blue Line Talk 3 Proximal XLT 4 Blue Line Suction-Aide 5 Fome Cuff 6 Distal XLT Increased skin-to-tracheal wall distance, seen in thick neck/obese patients or brittle neck tissues Contours around unusual tracheal anatomy (stenosis, tracheomalacia, tumour) to create an adequate seal 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 Proximal XLT 2 Blue Line Talk 3 Passy-Muir valve 4 Bivona Fome Cuff 5 Distal XLT 6 Blue Line Ultra Suction Aid
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