Author Question: An accident victim with an unstable cervical spine injury needs to be intubated. This type of ... (Read 41 times)

Deast7027 · **on:** Jul 16, 2018

An accident victim with an unstable cervical spine injury needs to be intubated. This type of in-tubation will be facilitated by which of the following?

a. Chin lift c. Neck extension
b. Fowler position d. Sniffing position

Question 2

The airway examination of a patient reveals Mallampati airway class II and a thyromental dis-tance of 7 cm. The statement that is most appropriate about the intubation of this patient is which of the following?

a. An oral intubation should be attempted first.
b. Routine intubation of this patient may be impossible.
c. This patient will have an airway manage-ment problem.
d. This patient may require invasive airway management in the future.

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

Answer to Question 1

ANS: A
The neck extension and sniffing position are both contraindicated for an unstable cervical spine injury. The head is elevated too high in the Fowler position to facilitate intubation.

Answer to Question 2

ANS: A
A Mallampati airway class III and a thyromental distance of less than 6 cm are predictors of a difficult airway. Because this airway examination demonstrates an airway that is not difficult, the initial attempts to establish an airway should be by means of oral intubation.