Basic Airway Mgt Intubation

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Principles of Anesthesiology Nursing IBasic
Airway Management Jeffrey Groom, MS, CRNA,
ARNPClinical Associate ProfessorAnesthesiology
Nursing ProgramSchool of Nursing Florida
International University
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Discuss the utilization of the LMA Differentiate
between models of LMAs
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Laryngeal Mask Airway (LMA)
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LMA Classic Selection Guidelines
These are maximum volumes that should never be
exceeded. It is recommended the cuff be inflated
to 60 cm H2O intracuff pressure.
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LMA Unique
LMA Classic
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LMA

• Inspection
• Preparation
• Insertion
• Fixation
• Maintenance
• Emergence

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LMA

• Intubation following LMA
• Intubation through LMA
• Intubating LMA FASTrach LMA

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LMA

• Care of LMAs
• Characteristics
• Useful Situations
• Complications
• Advantages
• Disadvantages

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List frequent indications for endotracheal
intubation
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Discuss the types of ET tubesIdentify the parts
of the ET tubeDifferentiate ET cuffs (Hi vs
Low)What is proper cuff leak?How does N2O alter
cuff volumeHow is ET tube size determined
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• Determining Sizes
• Internal Diameter (ID)
• Newborns
• Newborn
• Newborn 28-34 weeks (1000-2000 grams) 3.0 mm
• Newborn 34-38 weeks (2000-3000 grams) 3.5 mm
• Newborn 38 weeks (3000 grams) 3.5 to 4.0 mm
• Infant under 6 months 3.5 - 4.0 mm
• Infant under 1 year 4.0 - 4.5 mm
• Child under 2 years 4.5 - 5.0 mm
• Child over 2 years (Age in years)/4 4mm
• Adult Female 7.0 - 8.0 mm
• Adult Male 8.0 - 8.5 mm
• Alternative Method Length based (Broselow Tape)
• Outside Diameter
• Estimated by size of child's little (pinky)
  finger
• Distance or Depth of Insertion
• Marking at bottom of ET tube should be at cord
  level
• Estimate Internal Diameter x3 centimeters

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Discuss adjuncts to facilitate intubation
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Discuss the types, parts and function of the
laryngoscope
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LARYNGOSCOPES
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Fiberoptic Laryngoscopes
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Laryngoscope Blades
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Laryngoscope Blades
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Discuss the technique for performing endotracheal
intubationRelate airway axis to positioningID
glottic structures as seen by intubator
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How is ET tube placement confirmed ?What is the
average depth of a correctly placed ET tube ?
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TRACHEAL ET Tube
ESOPHAGEAL ET Tube
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Discuss considerations and methods to secure ET
tube
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Discuss the drugs used to facilitate intubation
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Drugs to facilitate intubation

• Oxygen
• Hypnotic agents
• Muscle relaxants
• Other locals, opioids, beta-blockers

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