Author Question: The assessment of the upper airway prior to a flexible bronchoscopy procedure to help identify ... (Read 53 times)

meagbuch · **on:** Jul 16, 2018

The assessment of the upper airway prior to a flexible bronchoscopy procedure to help identify patients in whom it may be difficult to secure an airway is referred to as:

a. the Glasgow Coma Scale.
b. the Mallampati classification.
c. the APACHE scale.
d. the Borg scale.

Question 2

What is the most difficult parameter to monitor during FB?

a. Depth of sedation
b. Airway pressure
c. Chest movement
d. Pulse oximetry

canderson530 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: B
The assessment of the upper airway prior to the procedure helps to identify those patients in whom it may be difficult to secure an airway in case of hypoventilation. The Mallampati classifi-cation is one of the most commonly used methods to identify individuals who may pose diffi-culty during intubation. The Mallampati score is assessed by having the patient open his/her mount and protrude the tongue as much as possible without phonation.

Answer to Question 2

ANS: A
One of the most difficult parameters to monitor during FB is the depth of sedation. Intermittent boluses of sedation may be needed to ensure the adequate depth of sedation during the proce-dure. However, the depth of sedation must be balanced with the side effects of over-sedation during and after the procedure.