Airway. Learning Objectives At the end of this session you will be able to Describe the main aims of airway management in trauma Predict specific difficulties.

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Presentation transcript:

Airway

Learning Objectives At the end of this session you will be able to Describe the main aims of airway management in trauma Predict specific difficulties with the trauma airway Describe basic and advanced airway techniques

Main Goals Patency Protection Oxygenation Ventilation

Airway control in trauma Direct threats Indirect threats Ventilatory control Anticipated clinical course

Assessment Look Listen (voice) Palpate, and inspect neck (TWELVEC) Anticipate difficulty Continual reassessment

Signs of compromise Agitated / Comatose patient Change phonetics - hoarseness Obstructive sounds - snoring, gurgling Tachypnoea, use of accessory muscles Subcutaneous emphysema Hypoxia - LATE SIGN

What is a “difficult airway”?

Predicting Difficulty BVM (MOANS) Laryngoscopy (LEMON) SGA insertion (RODS) Cricothyroidotomy (SHORT)

Basic Airway techniques Oxygen Manoeuvres Suction Adjuncts

Advanced airway techniques Endotracheal intubation Supra-Glottic Airway Surgical Airway Pre-oxygenate !!

Pre-oxygenation Non rebreathe face mask + nasal cannulae BVM + nasal cannulae NIV + nasal cannulae Delayed sequence intubation + nasal cannulae

Unexpected difficult airway

Summary Goals of airway management Assessment Management Difficult airway

Learning Objectives You will now be able to: Describe the main aims of airway management in trauma Predict specific difficulties with the trauma airway Describe basic and advanced airway techniques