A 30-year-old male is admitted to the emergency room after a severe motor vehicle accident. Assessment reveals he had a full stomach with significant reflux. His effective static compliance is measured at 20 mL/cm H2O
Which of the following types of airways would be appropriate to provide ventilatory support for this patient?
a. Nasopharyngeal airway c. Endotracheal tube
b. Laryngeal mask airway d. Endobronchial tube
ANS: C
A laryngeal mask airway is contraindicated for three reasons; there was evidence he had a full stomach, there was evidence of gastroesophageal reflux, and his lung compliance is decreased. This would require an endotracheal tube to support ventilation. There is no evidence that a dou-ble lumen endotracheal tube is necessary.
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