EDAIC Airway Management 2

Question 1

According to NAP4 and standard anesthetic guidelines, a 'difficult airway' is best defined as:

Accepted Answer

A situation where a trained anesthesiologist experiences difficulty with mask ventilation, laryngoscopy, or intubation

Answer

A difficult airway is broadly defined as any situation where a trained anesthesiologist encounters difficulty with face mask ventilation, direct laryngoscopy, or tracheal intubation, or a combination of these.

Question 2

The primary indication for awake fiberoptic intubation (AFOI) is:

Accepted Answer

An anticipated difficult airway where loss of consciousness risks loss of the airway

Answer

AFOI is indicated when an anticipated difficult airway makes loss of consciousness hazardous, allowing intubation under topical anesthesia while the patient maintains their own airway reflexes and spontaneous ventilation.

Question 3

A second-generation supraglottic airway device (e.g., LMA Supreme, i-gel) differs from a first-generation device primarily by:

Accepted Answer

Incorporating a gastric drainage channel and improved oropharyngeal seal

Answer

Second-generation supraglottic airways feature a dedicated gastric access/drainage channel and an improved oropharyngeal seal, substantially reducing aspiration risk compared to first-generation devices.

Question 4

Video laryngoscopy compared to direct laryngoscopy for anticipated difficult airways:

Accepted Answer

Improves glottic visualization but tube delivery can still be challenging

Answer

Video laryngoscopy reliably improves glottic visualization, but this does not automatically translate to easier tube delivery — particularly with hyperangulated blades where directing the tube into the trachea requires additional technique.

Question 5

In a 'cannot intubate, cannot oxygenate' (CICO) emergency, after all supraglottic rescue attempts have failed, the correct next step is:

Accepted Answer

Emergency front-of-neck airway (eFONA) via scalpel-bougie-tube technique

Answer

Emergency front-of-neck airway (eFONA), most reliably performed via a scalpel-bougie-tube technique through the cricothyroid membrane, is the definitive life-saving intervention in a confirmed CICO scenario.

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC Airway Management 2