Author Question: You are assisting a physician in the emergency care of a patient with a maxillofacial injury who ... (Read 73 times)

jerry coleman · **on:** Jul 16, 2018

You are assisting a physician in the emergency care of a patient with a maxillofacial injury who will require short-term ventilatory support. Which of the following airway approaches would you recommend?

a. Intubate via the oral route.
b. Insert an oropharyngeal airway.
c. Perform an emergency tracheotomy.
d. Intubate via the nasal route.

Question 2

Successful tube passage through the larynx during blind nasotracheal intubation is indicated by which of the following? 1. Louder breath sounds 2. Harsh cough 3. Vocal silence

a. 1 and 2 only
b. 1 and 3 only
c. 2 and 3 only
d. 1, 2, and 3

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

Answer to Question 1

ANS: D
With the maxillofacial injury, the oral cavity will not be accessible. Intubation via the nasal route may be required. It is a short term need so a tracheotomy will not be necessary.

Answer to Question 2

ANS: C
Successful passage of the tube through the larynx usually is indicated by a harsh cough, followed by vocal silence.