Both the respiratory therapist and the physician have made ...

[MirandaLo]

Both the respiratory therapist and the physician have made several attempts to intubate a patient. The patient is becoming more and more cyanotic. Face mask ventilation is inadequate. The most appropriate action to take is which of the following?
 
  a. Administer a paralyzing agent.
  b. Make another attempt at oral intubation.
  c. Establish an airway with a tracheostomy.
  d. Attempt to establish a nasopharyngeal airway.

Question 2

The proper location for transtracheal needle insertion is:
 
  a. into the cricoid cartilage.
  b. through the cricothyroid membrane.
  c. between the first and second tracheal car-tilage rings.
  d. under the hyoid bone, through the thyro-hyoid ligament.

[ngr69]

Answer to Question 1

ANS: C
According to the Difficult Airway Algorithm, in this type of situation, emergency invasive airway access should be initiated. This includes either surgical or percutaneous tracheostomy or cricothyrotomy.

Answer to Question 2

ANS: B
The simplest invasive airway device is a large-bore intravenous catheter inserted percutaneously through the cricothyroid membrane, a procedure called needle cricothyroidotomy. This easily identified space is located between the thyroid cartilage and the cricoid ring.

[MirandaLo]

TY

[ngr69]

Happy to Help