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

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

CHARGE syndrome includes all of the following clinical features EXCEPT

A. choanal atresia

B. trachea-esophageal fistula

C. cranial nerve anomalies

D. congenital cataracts

E. cleft lip

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

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

A. call for help

B. prep the neck with iodine

C. administer 100% oxygen

D. paralyze the patient

E. insert a rigid bronchoscope

(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.

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

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

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

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

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

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

(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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