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