Airway tubes - Are you smarter than a fifth grader (R5)

Proximal XLT tracheostomy tube

What patient is this intended for?

• Long neck

  (tall pt)

• Thick neck

  (obese pt)

• Short neck

  (short pt)

• Young Neck

  (peds pt)

Answer explanation

Which airway aid is most useful to convert a SGA to ETT

• Frova

• AEC

• Aintree

Which of the following options are examples of second generation SGA

• 
• 
• 
• 

Answer explanation

Second generation SGAs are defined as "those with specific design features intended to reduced the risk of aspiration", making these devices 'safer' than first generation

What is unique about the #5.0 ETT tube on the left

• lower pressure cuff for young patients

• softer tip and better for AFOI

• small caliber ETT with adult length

• I work at VGH and don't need to know about pediatric tubes

Answer explanation

What is the primary purpose of this tube?

• laryngectomy - wire reinforced tube

• micro- laryngoscopy

• Fastrach LMA intubation

• Laser surgery

Have you used a laryngectomy tube?

• Yes

• No

What does the cuff on this tube get filled with?

• 5-15cc of air

• 5-10cc of sterile water

• 5-10cc of saline

• ICG -

  indocyanine green

Answer explanation

Saline-filled cuffs help prevent laser-induced polyvinylchloride endotracheal tube fires

Have you used an intubating SGA(fastrach, i-LMA, Air-Q etc)

to place and ETT on a live patient

• No

• Yes

Choose all that are true about a Portex Ivory Nasal RAE

• softer material

• less prone to kink

• longer for same diameter

• don't need to be prewarmed in fluid

Which apply to this SGA

• insertion easier for untrained individual compare to LMA

• common fix to leak is to pull device back

• It is a King LT

• Same design as Combi-tube

Answer explanation

combitube pre dates King tubes.

great concept rescue device but confusing to use in practice due to 2 cuffs and 2 lumens