Question

52. LABURATURY LAENLIJLJTON A 19-year-old male weighing 150 lb has been brought to the emergency department by ambulance after being struck by a motor vehicle while on his motorcycle. The patient was found unconscious, with multiple visible fractures on the face. The paramedics placed an immobilization collar and inserted an LMA. The physician recommends that the pa. tient be orally intubated prior to being taken for a CT scan. A. What endotracheal tube size and depth of insertion would you recommend for this patient? B. While assembling and checking the intubation equipment, you notice that the light on the laryngoscope blade flickers on and off. What should be done to remedy this situation? C. Upon intubation, blood continues to form in the patient's oropharynx despite repeated attempts to suction. What clue may help you to locate the larynx while the view is obstructed by blood? D. Once the patient is intubated, what is the single most effective way to confirm that the position of the endotra- cheal tube is in the trachea? 7. A physician asks you to assist in intubating a morbidly obese 46-year-old female patient. A. When choosing between the Miller and the Macintosh laryngoscope blades, which would be the best choice? Why? B. Are there any other considerations when intubating a morbidly obese patient?

Answer 1

Endotracheal tube size is determined by using equation age+4/4 and depth is 23 cm for adult male.

SOLUTION A fos Endotrach 0. . . B: c. Adults as Endlotsacheal tube size is de tesmined by = 1944 Agett + Here Age=19 w = 5:15 tube size = 5.75 cm. Depth siodrally in case of male 23 cm REMEDY open the patients mouth with a sight handen scissos technique sest the lasyngoscope goscope blade on the sight side of the mouth and use it to excep the bough tongue et que to left. L'asynx can be locate with the help of Ulasynges.cope. we can use cor detectos to Evaluvate the corrects position that is continous nave fosmrs. Capnography. SOLUTION. Macintosh blade is the most widely. used cusved blade & Miller blable is the most populas style tsaight blade . bos infants Miller blade is recomended because of its lasge size and flexibility in the estant epiglotis. D. 7. H. Main Considesation hos mosbidly obese patients: Head elevation Saise patient bead antesiol to the shouldess and align the extesda auditosy meatus with stesnal notch.