a.   Identify this piece of equipment 
b.  List one indication for its use 
c.   List 3 contraindications to the use of this device
d.  List 3 complications associated with its use

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College Answer

A photograph of a Sengstaken-Blakemore tube was shown.

a.   Identify this piece of equipment

i.    SBT

b.  List one indication for its use

i.         Variceal bleed

c.   List 3 contraindications to the use of this device

i.  Known Oesophageal stricture
ii.      Unidentified source of bleeding

iii.           Unprotected airway


d.  List 3 complications associated with its use

i.          Aspiration pneumonia
ii.      Cardiac arythmias
iii.      Oesophageal perforation
iv.      Acute upper airway obstruction

Discussion

This question closely resembles Question 30 from the first paper of 2013.

References

References

King, Brent R., et al. "Endotracheal tube selection in children: a comparison of four methods." Annals of emergency medicine 22.3 (1993): 530-534.

Duracher, Caroline, et al. "Evaluation of cuffed tracheal tube size predicted using the Khine formula in children." Pediatric Anesthesia 18.2 (2008): 113-118.

Davis, D. I. A. N. E., L. Barbee, and D. Ririe. "Pediatric endotracheal tube selection: a comparison of age-based and height-based criteria." AANA journal66 (1998): 299-303.