ATCN 2020 Chapter 2 Airway and
Ventilatory Management
______________________________ patients may sustain significant thoracic injuries without
rib fractures - ANS-Pediatric patients
\_____________________________________ must be administered to all severely injured
trauma patients - ANS-Supplemental oxygen
\________________________________________ can cause abnormal breathing patterns and
compromise adequacy of ventilation. - ANS-Intracranial Injury
Cervical spinal cord injury can result in respiratory muscle paresis and paralysis.
\___________________________________________________________ is defined as a tube
placed in the trachea with the cuff inflates below the vocal cords, the tube connected to a form
of oxygen enriched assisted ventilation, and the airway secured in place with an appropriate
stabilizing method. - ANS-Definitive Airway
\A ____________________________________ is preferred than a tracheostomy for most
patients who require an emergency surgical airway because it is easier to perform, associated
with less bleeding, and requires less time to perform than an emergency tracheostomy. -
ANS-Surgical Cricothyroidotomy
\A ________________________________________ allows for intermittent insufflation, 1
second on and 4 seconds off, can then be achieved by placing the thumb over the open end of
the Y-connector or the side hole. - ANS-Needle Cricothyroidotomy
Because of the inadequate exhalation, Co2 slowly accumulates and thus limits the use of the
technique, especially in patients with head injuries.
Significant barotrauma can occur, including pulmonary rupture with tension pneumothorax
following percutaneous trans tracheal oxygenation.
\A measured oxygen saturation of 95% or greater by pulse oximeter is a strong corroborating
evidence of adequate peripheral arterial oxygenation Pao2 of ______________________ -
ANS-Pao2 > 70 mm hg
\A positive, appropriate verbal response with a clear voice indicates : - ANS-That the patients
airway is patent, ventilation is intact, and brain perfusion is sufficient. Failure to respond or an
inappropriate response suggests an altered level of consciousness that may be result of airway
or ventilatory compromise or both.
\Airway compromise can be sudden and complete,, insidious and partial, and / progressive and
recurrent. Although it is often related to pain, or anxiety, or both
________________________________ can be a subtle early sign of airway and/or ventilatory
compromise. - ANS-Tachypnea
\An understanding of the ____________________________________. Is mandatory to
providing adequate airway management while anticipating the risks. - ANS-Understanding the
type of injury
Ventilatory Management
______________________________ patients may sustain significant thoracic injuries without
rib fractures - ANS-Pediatric patients
\_____________________________________ must be administered to all severely injured
trauma patients - ANS-Supplemental oxygen
\________________________________________ can cause abnormal breathing patterns and
compromise adequacy of ventilation. - ANS-Intracranial Injury
Cervical spinal cord injury can result in respiratory muscle paresis and paralysis.
\___________________________________________________________ is defined as a tube
placed in the trachea with the cuff inflates below the vocal cords, the tube connected to a form
of oxygen enriched assisted ventilation, and the airway secured in place with an appropriate
stabilizing method. - ANS-Definitive Airway
\A ____________________________________ is preferred than a tracheostomy for most
patients who require an emergency surgical airway because it is easier to perform, associated
with less bleeding, and requires less time to perform than an emergency tracheostomy. -
ANS-Surgical Cricothyroidotomy
\A ________________________________________ allows for intermittent insufflation, 1
second on and 4 seconds off, can then be achieved by placing the thumb over the open end of
the Y-connector or the side hole. - ANS-Needle Cricothyroidotomy
Because of the inadequate exhalation, Co2 slowly accumulates and thus limits the use of the
technique, especially in patients with head injuries.
Significant barotrauma can occur, including pulmonary rupture with tension pneumothorax
following percutaneous trans tracheal oxygenation.
\A measured oxygen saturation of 95% or greater by pulse oximeter is a strong corroborating
evidence of adequate peripheral arterial oxygenation Pao2 of ______________________ -
ANS-Pao2 > 70 mm hg
\A positive, appropriate verbal response with a clear voice indicates : - ANS-That the patients
airway is patent, ventilation is intact, and brain perfusion is sufficient. Failure to respond or an
inappropriate response suggests an altered level of consciousness that may be result of airway
or ventilatory compromise or both.
\Airway compromise can be sudden and complete,, insidious and partial, and / progressive and
recurrent. Although it is often related to pain, or anxiety, or both
________________________________ can be a subtle early sign of airway and/or ventilatory
compromise. - ANS-Tachypnea
\An understanding of the ____________________________________. Is mandatory to
providing adequate airway management while anticipating the risks. - ANS-Understanding the
type of injury
