& Answers
What two things will you do for EVERY patient pre-operatively? - ANSWERSAuscultate heart and
lungs
Airway examination - for every patient, for every procedure, for every encounter
T/F: The anesthesia provider is the airway expert - ANSWERSTrue
T/F: The airway exam is 100% predictable of a difficult airway. - ANSWERSFalse!
The airway exam could be perfect and you could still have a difficult airway.
If the airway looks difficult, there's a good chance it will be. It's a good predictor.
You want to be prepared for the worst, always obtain old records if there is a question about the
airway in a previous anesthetic.
What is the difficult airway algorithm? - ANSWERSDon't need to know for this class but for yes
for clinical. you need to know it and be able to recite it. It will save someone's life.
http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1918684
What is the single most important aspect of assessment? - ANSWERSThe airway assessment!
Respiratory events are _____% of all the Closed Claims Project in the 2000s. - ANSWERS64%
, Adverse respiratory events constitute the single largest source of injury in the Closed Claims
Project.
What are the three mechanisms of the adverse respiratory events? - ANSWERSInadequate
ventilation (25%)
Difficult intubation (22%)
Esophageal intubation (6%)
When conducting a Mallampati exam, do you ask the patient to say "ahh?" - ANSWERSNo.
Phonation skews your assessment because it lifts the uvula and the back of the airway dilates, it
will look prettier than it actually is.
Components of Airway Exam (11) - ANSWERS1. Length of upper incisors
2. Condition of teeth
3. Occlusion and mouth opening
4. Mandibular advance (mandibular prognathism)
5. Interincisor or inter gum distance
6. Visibility of uvula
7. Facial hair
8. Thyromental distance (TMD)/submental space
9. Length of neck
10. Neck circumference
11. ROM of head and neck
Airway Documentation Requirements (7) - ANSWERS1. Mallampati score
2. Status of teeth (with #s)
3. Degree of neck mobility