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Chapter 62. Difficult Airway Carts

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Which of the following is a known effective method of sterilization in destroying the prion particle?

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A. autoclaving (120°C)

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B. ultraviolet radiation

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C. ionizing radiation

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D. sterilization with ethylene oxide

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E. none of the above

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(E) Presently, there is no known effective method of sterilization in destroying the prion particle.

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All of the following policy issues regarding a difficult airway cart are crucial EXCEPT

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A. cart location

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B. who is the cart “policy” manager

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C. communications regarding contents

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D. maintenance and replacement of contents

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E. who is permitted to use the cart

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(E) Apart from dictating who can use the airway equipment, all of the points are critical policy issues in designing a difficult airway cart.

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Since anesthesia practitioners are called to out-of-OR locations to manage airways

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A. they are liable for negative outcomes if the equipment they need is not available

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B. they must have input regarding contents of difficult airway carts in locations where they may be called to intervene

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C. they must ensure that policies regarding airway equipment maintenance in out-of-OR locations are in force and followed

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D. noncompliance in any of the scenarios listed above (including the availability of essential equipment) would be grounds to refuse to participate in airway management in those locations

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E. all of the above

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(E) Since anesthesia practitioners are often called to out-of-OR locations to manage the airway, they are liable for negative outcomes if the equipment they need is not available. Therefore, it is critical that they should be involved in the design and maintenance of difficult airway carts. It is the duty of the hospitals and unit management and anesthesia practitioners to understand and embrace this accountability.

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