Boredom Interrupted: 10 Causes of Airway Complications and How to Avoid Them; Christine Whitten, MD; Anesthesiology News.com; Airway Management 2020.

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please select the one best answer to each of the following questions.

Email *

Name: *

AANA # *

Email: *

Date *

YYYY

Oral injuries occur in one in every twenty anesthetic procedures. Of the 90 million anesthetics performed each year, that five percent implies _____ oral injuries. *

a. 1,000

b. 100,000

c. 1 million

d. 4.5 million

Common causes for failing to optimize position prior to intubation include: *

a. Lack of experience

b. Crisis intubation

c. Lack of equipment

d. Time pressure

e. Distraction

f. False sense of security

g. All of the above

When using video laryngoscopy, you should NOT look at the monitor until the tip of the ETT has turned the corner into the pharynx. *

a. True

b. False

Which of the following is NOT a risk factor for tracheal rupture during intubation? *

a. Short stature

b. Use of rigid stylets

c. Head movement and/or vigorous coughing while intubated

d. Correctly sized ETTs

e. Female patient

Signs and symptoms of tracheal rupture include; *

a. Unexplained dyspnea

b. Hemoptysis

c. Subcutaneous or mediastinal emphysema

d. Pneumothorax or pneumoperitoneum

e. All of the above

Early diagnosis of esophageal perforation improves survival as delay in treatment often finds the patient developing mediastinitis, sepsis, and cardiogenic shock. Operative delay of more than twelve hours or nonoperative treatment can raise the mortality to ______%. *

a. 10

b. 25

c. 56

d. 99

Which of the following situations/conditions can predispose the patient to anesophageal perforation? *

a. Difficult intubation

b. Excessive use of force

c. Poor muscle relaxation of the patient

d. Poor visualization of the appropriate anatomy

e. Lack of experience

f. Stylet protruding beyond the end of the ETT

g. All of the above

While tongue necrosis is typically associated with vasculitis or cardiogenic shock, it can also be caused by any hard device in the mouth compressing the tongue or other structures thereby restricting blood flow. *

a. True

b. False

Surgery and anesthesia related factors that can contribute to tongue necrosis include: *

a. Elective controlled hypotensive anesthesia

b. Neck flexion

c. Prone position

d. Generous volume replacement

e. Overinflation of LMA devices

f. Use of Guedel oropharyngeal airway in combination with an LMA

Long term outcomes of tongue ischemia include, but are not limited to: *

a. Tongue scarring and deformity

b. Dysphagia, leading to weight loss from inability to eat

c. Dysarthria, limiting ability to communicate and work

d. All of the above.

Strategies to reduce the risk of tongue ischemia include (among others): *

a. Avoid overinflation of LMAs

b. Position airways very carefully

c. Don’t let the ETT cross over the back of the tongue

d. Use soft bite blocks on prone patients and position carefully

e. Be mindful of fluid replacement

f. Be vigilant

g. All of the above

Vocal cord paralysis can be caused either by injury to cricoarytenoid or cricothyroid joint or by nerve injury (specifically the recurrent laryngeal nerve). *

a. True

b. False

Intubation related recurrent laryngeal nerve injuries most commonly occur when the cuff sits partially inside the rigid cricoid cartilage. *

a. True

b. False

Potential complications of nasal intubation include: *

a. Hematoma/abscess/hemorrhage

b. Septal trauma

c. Turbinate fracture or avulsion

d. Tonsillar trauma

e. Traumatic nasal polypectomy

f. Eustachian tube obstruction

g. Intracranial placement (especially in presence of basilar skull fracture)

h. Airway obstruction

i. All of the above

The incidence of nose bleed from nasotracheal intubation has been reported as 29% to96% and can occur from: *

a. Soft tissue injury

b. Lacerations

c. Tears

d. All of the above

If a significant injury occurs during nasotracheal intubation, actions to take include: *

remove the nasotracheal tube (when it is safe to do so) and reintubate by another route

b. Watch for hemorrhage and consider hematoma formation

c. Consult with a head and neck surgeon

d. Consider use of steroids and broad-spectrum antibiotics.

e. Ensure follow-up for long term complications

f. Insertion of a Foley catheter into the airway and inflation of the balloon can be used to tamponade bleeding.

g. All of the above

Rare medical conditions that can cause unexpected airway abnormalities include: *

a. Amyloidosis

b. Relapsing polychondritis

c. Sarcoidosis

d. Wegener’s granulomatosis

e. All of the above

Obstruction of an ETT that occurs inside the oropharynx or trachea can be hard to recognize, but the possibility of an obstructed ETT by a blood clot has been documented in the past and should be considered. *

a. True

b. False

Factors that predispose OR patients to unplanned extubations include: *

a. Inadequately securing the ETT

b. Repositioning the patient and/or rotating the bed

c. Lack of access to the airway during surgery

d. Operating close to or around the ETT

e. Patient restlessness or agitation during emergence

f. All of the above

Clinical complications associated with unplanned extubation include: *

a. Aspiration pneumonia

b. Hypoxemia/hypoxia

c. Respiratory failure

d. Brain damage

e. Cardiac arrest

f. Death

g. Vocal cord injury

h. All of the above

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms