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