Fisdap Airway Management Questions
and Answers Rated A+
Potential effects of orotracheal intubation. ✔✔Secure airway, Protection against aspiration.
Bleeding, hypoxia laryngeal swelling, laryngospasms, vocal cord, mucosal necrosis, barotrauma.
Potential effects of moving an intubated patient. ✔✔With a firmly secured tube the tip of the ET
tube can move as much as 2 inches with head flexion and extension; with hyperflexion the tube
can be pulled from the trachea completely. Hyperextension can cause the ET tube to be pushed
further into the trachea. Consider C-collar to keep the head in neutral position.
When to exubate a patient? ✔✔Patients are rarely extubated in the prehospital setting. The only
reason to consider extubation is if the patient is extremely intolerant of it or the ET tube is placed
incorrectly. (Extremely combative, gagging or retching). It is typically safer to sedate the patient
rather than extubate. Before performing field extubation, you should contact medical control or
follow local protocols.
Potential effects of overinflation of the distal cuff. ✔✔Overinflation of the distal cuff may cause
tissue necrosis of the tracheal wall.
,Indications for airway suctioning. ✔✔When the patient's mouth or throat becomes filled with
vomit, blood or secretions. Audible gurgling.
Gold standard for successful intubation. ✔✔The gold standard is endotracheal intubation; Gold
standard for evidence of successful intubation is in-line capnography.
Indications for direct laryngoscopy and magill forceps. ✔✔If you are unable relieve a severe
airway obstruction in an unresponsive patient with basic techniques.
Have Magill forceps available should you need to guide the ET tube between the vocal cords or
if you encounter a foreign body obstruction during laryngoscopy.
Potential complications of endotracheal intubation. ✔✔Bleeding, hypoxia, laryngeal swelling,
laryngospasm, vocal cord damage, mucosal necrosis, and barotrauma.
Anatomical place of a Miller blade. ✔✔The straight laryngoscope blade (Miller) is designed so
that its tip will extend beneath the epiglottis and directly lift it up.
, Anatomical placement of a Macintosh blade. ✔✔Curve of blade conforms to tongue and
pharynx. The tip of the blade is placed in the vallecula.
Indications for nasotracheal intubation. ✔✔Nasotracheal intubation is indicated for patients who
are breathing spontaneously but require definitive airway management to prevent further
deterioration of their condition. Responsive patients and patients with an altered mental status
and an intact gag reflex who are in respiratory failure because of conditions such as COPD,
asthma, or pulmonary edema.
Volume of the distal cuff of a endotracheal tube. ✔✔5-10 mL
Correct tube placement confirmation. ✔✔1. Visualizing the the ET tube passing between the
vocal cords.
2. Equal and bilateral lung sounds.
3. If the ET tube has been placed properly then it should be easy to compress the bag-mask
device, and you should see corresponding chest expansion.
4. Continuous waveform capnography, ETC02 detector or an esophageal detector device.
Treatment of FBAO. ✔✔1.If a patient with a suspected airway obstruction is responsive ask if
they are choking.
and Answers Rated A+
Potential effects of orotracheal intubation. ✔✔Secure airway, Protection against aspiration.
Bleeding, hypoxia laryngeal swelling, laryngospasms, vocal cord, mucosal necrosis, barotrauma.
Potential effects of moving an intubated patient. ✔✔With a firmly secured tube the tip of the ET
tube can move as much as 2 inches with head flexion and extension; with hyperflexion the tube
can be pulled from the trachea completely. Hyperextension can cause the ET tube to be pushed
further into the trachea. Consider C-collar to keep the head in neutral position.
When to exubate a patient? ✔✔Patients are rarely extubated in the prehospital setting. The only
reason to consider extubation is if the patient is extremely intolerant of it or the ET tube is placed
incorrectly. (Extremely combative, gagging or retching). It is typically safer to sedate the patient
rather than extubate. Before performing field extubation, you should contact medical control or
follow local protocols.
Potential effects of overinflation of the distal cuff. ✔✔Overinflation of the distal cuff may cause
tissue necrosis of the tracheal wall.
,Indications for airway suctioning. ✔✔When the patient's mouth or throat becomes filled with
vomit, blood or secretions. Audible gurgling.
Gold standard for successful intubation. ✔✔The gold standard is endotracheal intubation; Gold
standard for evidence of successful intubation is in-line capnography.
Indications for direct laryngoscopy and magill forceps. ✔✔If you are unable relieve a severe
airway obstruction in an unresponsive patient with basic techniques.
Have Magill forceps available should you need to guide the ET tube between the vocal cords or
if you encounter a foreign body obstruction during laryngoscopy.
Potential complications of endotracheal intubation. ✔✔Bleeding, hypoxia, laryngeal swelling,
laryngospasm, vocal cord damage, mucosal necrosis, and barotrauma.
Anatomical place of a Miller blade. ✔✔The straight laryngoscope blade (Miller) is designed so
that its tip will extend beneath the epiglottis and directly lift it up.
, Anatomical placement of a Macintosh blade. ✔✔Curve of blade conforms to tongue and
pharynx. The tip of the blade is placed in the vallecula.
Indications for nasotracheal intubation. ✔✔Nasotracheal intubation is indicated for patients who
are breathing spontaneously but require definitive airway management to prevent further
deterioration of their condition. Responsive patients and patients with an altered mental status
and an intact gag reflex who are in respiratory failure because of conditions such as COPD,
asthma, or pulmonary edema.
Volume of the distal cuff of a endotracheal tube. ✔✔5-10 mL
Correct tube placement confirmation. ✔✔1. Visualizing the the ET tube passing between the
vocal cords.
2. Equal and bilateral lung sounds.
3. If the ET tube has been placed properly then it should be easy to compress the bag-mask
device, and you should see corresponding chest expansion.
4. Continuous waveform capnography, ETC02 detector or an esophageal detector device.
Treatment of FBAO. ✔✔1.If a patient with a suspected airway obstruction is responsive ask if
they are choking.
