Representative example of the use of a fiberoptic bronchoscope (FOB) to guide intubation through a supraglottic airway device. Representative example of.

Slides:



Advertisements
Similar presentations
1 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license.
Advertisements

Special Airway Devices and Techniques for the Difficult or Failed Airway Pat Melanson,MD.
Airway Anatomy Soft palate Hard palate Nasopharynx Oropharynx Hypopharynx Tongue Thyroid cartilage.
Introduction Many types of supraglottic airway device have been used as a conduit for tracheal intubation. The technique may be useful in difficult airway.
Airway Management The Medic One Way… By Zachary Wm. Drathman.
Difficult Airways Presented by Ri 龔律至 Ri 李又文. Brief history 59 y/o male Oropharyngeal ca.(SCC) s/p CCRT in 2000 Local recurrent oropharyngeal ca. s/p.
1 1 Case 1 Respiratory Emergencies © 2001 American Heart Association.
Airway Management & WuScope By R2 Liu Chih-Min.
Emergency Department Of Rasool-Akram Hospital. Airway Management P. Hafezi MD Emergency Medicine.
DIFFICULT AIRWAY IN THE ICU Dr Anitha Shenoy Professor and Head of Anaesthesiology Kasturba Medical College, Manipal.
Sydney Clinical Skills and Simulation Centre Management of the Critically Obstructed Airway Session 3: Supraglottic Airway Rescue Practical Session.
Airway Basics Matt Hallman, MD.
AIRWAY MANAGEMENT DAN MUSE, MD.
Difficult Airway.
Unit 3 Lesson 3 Endotracheal Intubation
ENDOTRACHEAL TUBE (ETT)
The Schroeder (Parker Flex-It Directional Stylet) oral/nasal directional stylet. Elevation of the tip of the ETT can be achieved by wrapping the index.
Fiber-optic orotracheal intubation during sedation and topical anesthesia. A. After sedation and application of topical anesthesia, an Ovassapian intubating.
Humidification systems for high-flow cannulas.
Unit 3 Lesson 1 Endotracheal Intubation
Respiratory Emergencies
RESPIRATORY TREATMENT MODALITIES
Mask fit process. Mask fit process. The mask fit process begins with 3-dimensional surface images of the subject's face (A). Three-dimensional scans are.
Indicate on this diagram any sutures in place
Positive pressure ventilation during fibreoptic intubation: comparison of the laryngeal mask airway, intubating laryngeal mask and endoscopy mask techniques 
Association between the availability of videolaryngoscopes and the incidence of emergency surgical airway in the perioperative setting of a large academic.
Advanced Airway Management & Intubation
Magnetic resonance imaging study of the in vivo position of the extraglottic airway devices i-gel™ and LMA-Supreme™ in anaesthetized human volunteers 
HomeLOX liquid oxygen system, which creates oxygen from a concentrator and refrigerates the concentrator gas to a liquid state, which is stored in a small.
The Arndt endobronchial blocker, one of the commercially available endobronchial blockers for lung isolation. The Arndt endobronchial blocker, one of the.
Difficulty in advancing a tracheal tube over a fibreoptic bronchoscope: incidence, causes and solutions  Asai T. , Shingu K.   British Journal of Anaesthesia 
Picture of bubble PEP devices.
Pre-hospital advanced airway management by anaesthetist and nurse anaesthetist critical care teams: a prospective observational study of 2028 pre-hospital.
ANATOMY OF AIRWAY AND INTUBATION. NOUR GHNAIMAT .
One-lung ventilation using Proseal™ laryngeal mask airway and Arndt endobronchial blocker in paediatric scoliosis surgery  P. Li, W. Liang, H. Gu  British.
A.A.J. Van Zundert, C.M. Kumar, T.C.R.V. Van Zundert 
Effects of tracheal tube orientation on the success of intubation through an intubating laryngeal mask airway: study in Mallampati class 3 or 4 patients 
EQUIPMENT OF INTUBATION
Cuff-pressure changes after the addition of 5 mL and 10 mL of air into the cuff of 3 artificial airways, after initial baseline of 30 cm H2O established.
Laryngeal mask & other oro and nasophargeal apparatus .
Use of the Aintree intubation and airway exchange catheters through LMA-ProSeal for double-lumen tube placement in a morbidly obese patient with right.
At time zero, a water column of 10 cm H2O was poured above the tested endotracheal tube (ETT) cuffs. At time zero, a water column of 10 cm H2O was poured.
A 13-month-old subject had a deep tissue injury on the nose bridge when a nasal mask was used as a full face mask. A 13-month-old subject had a deep tissue.
Example airway pressure and rib-cage impedance in a premature infant supported with the biphasic mode of SiPAP (“sigh” positive airway pressure) from the.
A: The Parker Flex-Tip tube (left) has a flexible tip pointing toward the center of the distal lumen. A: The Parker Flex-Tip tube (left) has a flexible.
Repositioning a displaced tracheostomy tube with an Aintree intubation catheter mounted on a fibre-optic bronchoscope  R. Rajendram, N. McGuire  British.
Classic technique for insertion of a laryngeal mask airway (LMA) device. Classic technique for insertion of a laryngeal mask airway (LMA) device. With.
Comparison of airway pressure release ventilation (APRV) (blue curve) and biphasic positive airway pressure (BIPAP) (black curve). Comparison of airway.
Recommendations from the Pre-hospital Trauma Life Support (PHTLS) manual for FIO2 delivery, based on breathing frequency and FIO2 capabilities of devices.
A: Axial chest computed tomogram (CT) image with lung-window setting reveals overdistention of the endotracheal tube (arrow head) and a large defect of.
Gap size differences between the fiberoptic bronchoscope and a standard endotracheal tube (ETT) are shown. Gap size differences between the fiberoptic.
The Boussignac continuous positive airway pressure (CPAP) is a small plastic cylinder that attaches to a face mask. The Boussignac continuous positive.
Blind intubation through a supraglottic airway device (SAD), in this case, the laryngeal mask airway (LMA) Fastrach. Blind intubation through a supraglottic.
Intra-device comparison of albuterol captured at the end of the endotracheal tube (lung dose). Intra-device comparison of albuterol captured at the end.
A novel multi-channeled neonatal patient Y-piece device (AFECTAIR) developed as part of an aerosolized lung surfactant administration system to be used.
Negative pressures generated in our airway model.
A: Pressure ulcer on the left cheek of a patient after 1 week of prone positioning using a commercially available endotracheal tube (ETT) holder. A: Pressure.
SpO2 at baseline, pre- and post-intubation.
Graphical representation of the locations where spontaneous breaths may occur during the airway pressure (Paw) release ventilation ventilatory cycle. Graphical.
Calculated negative pressure developed in the lung plotted against the outside diameter of the suction catheter to the inside diameter of the airway. Calculated.
Frequency distribution of clinical trials involving first-generation and second-generation supraglottic airway devices (SADs). Frequency distribution of.
Laryngoscopic view grading system as initially developed by Cormack and Lehane.12 A: Grade I, the glottis is completely visible. Laryngoscopic view grading.
The CoPilot. The CoPilot. Like the GlideScope, this video laryngoscope has an angulated blade to facilitate clear image capture of the glottic opening.
Endobronchial ultrasound shows (A) trachea, and (B) right main bronchus. Endobronchial ultrasound shows (A) trachea, and (B) right main bronchus. Tracheal.
Double lumen endotracheal tube (DLET) with its upper channel dedicated to fiberoptic bronchoscopy (FOB) and lower channel exclusively dedicated to ventilation.
With the patient's mouth opened, the tip of the curved blade (Macintosh) is inserted into the right side of the mouth. With the patient's mouth opened,
Delivery efficiency with different devices, ventilator positions, and ventilator settings. Delivery efficiency with different devices, ventilator positions,
Difference between mid-frequency ventilation (MFV), volume control continuous mandatory ventilation (VC-CMV), and pressure control CMV (PC-CMV) when frequency.
Average drug doses in the peripheral lung, central lung, and extrathoracic airway; residual drug left in the device; and residual drug that was exhaled.
Effects of an automated endotracheal-tube-compensation system on a pressure-support breath. Effects of an automated endotracheal-tube-compensation system.
Presentation transcript:

Representative example of the use of a fiberoptic bronchoscope (FOB) to guide intubation through a supraglottic airway device. Representative example of the use of a fiberoptic bronchoscope (FOB) to guide intubation through a supraglottic airway device. The glottic opening should be visible on advancement of the fiberoptic bronchoscope positioned just beyond the bowl of the airway device. It should then be possible to advance the tracheal tube into the trachea under direct vision. The full view of the glottic opening may not be achieved in all situations. E = epiglottis; VC = vocal cords; ETT = endotracheal tube; EEB = epiglottic elevating bar; LMA = laryngeal mask airway; T = tongue; A = arytenoids. Courtesy Teleflex Medical. Satya Krishna Ramachandran, and Anjana M Kumar Respir Care 2014;59:920-932 (c) 2012 by Daedalus Enterprises, Inc.