Karen Trainor is a perioperative nurse working in the interventional radiology suite as a sedation nurse.She is preparing to provide moderate procedural sedation to Aron Whitten,an ASA class III 52-year-old man,for an endoscopic retrograde cholangiopancreatography (ERCP).The radiologist will probably order midazolam and fentanyl for the patient.Karen has assessed the patient's health history,allergies,baseline vital signs,and lab results and has performed an airway assessment.Because Aron will be positioned on his anterolateral left side,he may inadvertently tilt more to the left,which can impede his airway.Karen is preparing for any airway emergency.What measures will she employ as a risk reduction strategy to prepare for extreme airway management?

Question

Quizplus · Accepted Answer

Steps to follow with inadvertent deepening of sedation and loss of airway include the following:Call for help early (rapid response team or code blue team);provide supplemental oxygen/increase oxygen flow (if apneic or inadequate respirations);provide bag-valve-mask ventilation (with oxygen source);consider reversing sedation and analgesia;insert protected airway device,such as laryngeal mask airway or endotracheal tube (by trained provider),as an adjunct to monitor patient's respiratory status,especially in procedures where ventilatory function assessment is compromised,such as when the patient is in a prone position.

Karen Trainor Is a Perioperative Nurse Working in the Interventional