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Chapter 49. Cannot Intubate and Cannot Oxygenate in an Infant After Induction of Anesthesia

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CHARGE syndrome includes all of the following clinical features EXCEPT

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A. choanal atresia

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B. trachea-esophageal fistula

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C. cranial nerve anomalies

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D. congenital cataracts

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E. cleft lip

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(D) Congenital cataract is not one of the clinical features of a child with the CHARGE syndrome.

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Prior to proceeding to front of neck access, all of the following interventions should be performed EXCEPT

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A. call for help

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B. prep the neck with iodine

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C. administer 100% oxygen

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D. paralyze the patient

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E. insert a rigid bronchoscope

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(B) Preparing the neck with iodine is not one of the critical steps to improve oxygenation in a “can’t intubate, can’t oxygenate” situation.

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The following details regarding front of neck access (FONA) are correct EXCEPT

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A. A size 15 scalpel is 4-mm wide.

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B. The maximum pressure in the Manujet III TTJV baby range is 14.5 psi.

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C. A 14-Fr Frova intubating catheter can accommodate a size 5.0-mm ID ETT

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D. The Ventrain creates a subatmospheric pressure up to −217 cm H2O.

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E. The APLS guidelines recommend 4 L·min−1 flow through a Y-connector for a 4-year-old.

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(C) A 6.0-mm internal diameter (ID) is the smallest ETT that will accommodate a 14-French (4.6 mm outside diameter) Frova intubating catheter. A smaller 8-French (2.6 mm outside diameter) Frova intubating catheter can easily accommodate a size 4.0-mm ID ETT.

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