By Pat Sullivan
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Additional resources for Anaesthesia for Medical Students
1992 Page 44 Chapter should lie just inferior (2 to 3 cm) to the cords. As soon as you withdraw the laryngoscope blade from the mouth, note the length of the ETT at the lips using the centimetre markers on the ElT. This may prove to be useful if the endotracheal tube moves from its original position. The usual distance from the tip of the ETT to the mouth is approximately 21 to 24 cm in adult males, and 18 to 22 cm in adult females. The usual distance for a nasally intubated adult male (from the tip of the E n to the naris) is 25 cm.
Positioning the patient. Opening the patients mouth. Performing laryngoscopy. Insertion of the ElT through the vocal cords and removing the laryngoscope. V. T tube. I. 11. 111. IV. I. Posltlonlng the patlent When preparing to intubate a patient, their head and neck should be positioned using a combination of both cervical flexion and atlanto-occipital (AO) extension. We describe this as the sniffing position. 8). Atlanto-occipital extension alone increases the angle between the axes of the pharynx and the larynx.
Unidirectional valves are functioning. (Watch the valves open and close smoothly as you take a test breath through the mask and anaesthetic circuit) 8. Check that the soda lime is fresh and that the canister is full, D. Vacuum system: Suction is connected and working. E. Scavenging System: Correctly connected to patient circuit. F. Ventllator functioning. (Test the ventilator using the 2 Litre reservoir bag as a set of test lungs. Once the system has been filled with fresh gas, turn the ventilator on.
Anaesthesia for Medical Students by Pat Sullivan