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