Airway Management and Intubation Flashcards
6 cards from real NRP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Airway Management and Intubation flashcards as text
What is the purpose of the MRSOPA step 'Airway alternative' in the context of a failed mask?
Answer: Consider intubation or LMA placement
If all mask-correction steps fail to produce adequate ventilation, the provider should consider an airway alternative such as intubation or LMA.
What size suction catheter is recommended to clear the airway before intubation in a term newborn?
Answer: 10 French
A 10 French suction catheter is appropriate for term newborns; smaller catheters (6–8 Fr) are used for preterm infants.
What is the purpose of applying a stylet during neonatal intubation?
Answer: To stiffen the ETT and maintain its curvature for accurate placement
A stylet stiffens the soft ETT and allows shaping to match the curvature of the neonatal airway for easier placement.
What is the correct technique for holding the laryngoscope during neonatal intubation?
Answer: In the left hand, blade down, with the handle vertical
The laryngoscope is held in the left hand with the blade pointing down, allowing the right hand to insert the ETT.
What is the recommended response if an intubated infant suddenly deteriorates after initial improvement?
Answer: Consider DOPE: Displacement, Obstruction, Pneumothorax, Equipment failure
The DOPE mnemonic (Displacement, Obstruction, Pneumothorax, Equipment failure) guides systematic evaluation of sudden deterioration in an intubated neonate.
In what clinical situation is immediate post-delivery intubation specifically indicated?
Answer: Congenital diaphragmatic hernia (CDH) to avoid bowel distension
CDH requires immediate intubation because mask ventilation inflates bowel herniated into the chest, worsening respiratory compromise.