Airway Management L.Dadák, ARK FNUSA. Maintaining airway Noninvasive Noninvasive airwayairway laryngeal masklaryngeal mask combitubecombitube invasive.

Slides:

Advertisements

Similar presentations

ENDOTRACHEAL INTUBATION. NEONATAL FLOW ALGORITHM BIRTHBIRTH Term gestation? Amnlotic fluid clear? Breathing or crying? Good muscle tone?u Provide warmth.

Advertisements

Endotracheal Tube By Dr. Hanan Said Ali

Don Hudson, D.O., FACEP, ACOEP Advanced Airway Management & Intubation The Difference Between Life and Death.

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.

BLS AirwaysKING TubeCPAP EtCO2 ResQPod.

Airway instruments Dr. Amr Marzouk Mohamed Assistant lecturer of anesthesia.

SVCC Respiratory Care Programs

Airway Anatomy Soft palate Hard palate Nasopharynx Oropharynx Hypopharynx Tongue Thyroid cartilage.

Airway obstruction Trauma foreign bodies inflammation hematomas CNS disease secretions Drug overdose Infections glottitis Obstructive sleep apnea.

INTUBATION REVIEW SFC HILL.

Dr Abdollahi LMA The laryngeal mask airway (LMA) is an ingenious supraglottic airway device that is designed to provide and maintain a seal around.

Advanced Airway Management & Intubation The Difference Between Life and Death.

Artificial Airways RC 275.

Introduction to the PICU and Airway Management UTHSCSA Pediatric Resident Curriculum for the PICU.

GSACEP core man LECTURE series: Airway management Lauren Oliveira, DO LT, MC, USN Updated: 01MAR2013.

Optional, AEMT. Course Objectives Describe Sellick’s maneuver and the use of cricoid pressure during intubation. Describe the necessary equipment needed.

Intubation Assist Respiratory Services Oct

Orotracheal intubation เพชรรัตน์ วิสุทธิเมธีกร, พบ., ว. ว. ( วิสัญญี ) ภาควิชาวิสัญญีวิทยา วิทยาลัยแพทยศาสตร์ กรุงเทพมหานครและวชิรพยาบาล.

Alternative airway devices

Airway Management GMVEMSC Education Committee. Objectives Review proper airway management Review assessment Review adjuncts and proper use.

Lesson 4 Airway. Airway Anatomy Upper airway –Nasal passage –Turbinates –Oral cavity –Epiglottis –Vocal cord –Esophagus.

ENDOTRACHEAL INTUBATION Thida Ua-kritdathikarn, MD. Department Of Anesthesiology Faculty of medicine, PSU.

Difficult Airway Management 2009 Adrian Sieberhagen.

Lecture Title: Lecture Title: Airway Evaluation and Management Lecturer name: Lecture Date:

Airway management – Part II Ahmad Al Rimawi The technique of tracheal intubation, laryngoscopes and type of blades. Ahmad Rimawi.

Respiratory Therapy! Just breathe!.

AIRWAY MANAGEMENT AND VENTILATION. Assess Breathing Look for chest movementLook for chest movement Listen for breath soundsListen for breath sounds Feel.

Airway Management The Medic One Way… By Zachary Wm. Drathman.

Airway evaluation and Management By :Dr. Adel Elshimy.

SPM 200 Skills Lab 6 Nasogastric Tube (NGT) / Oral and Nasal Airways / O2 Delivery Devices Daryl P. Lofaso, MEd, RRT Clinical Skills Lab Coordinator.

Intubation and Anatomy of the Airway

Endotracheal Intubation

1 Endotracheal Intubation/Extubati on. 2 Upper Airway Anatomy (p. 158)

Maintaining Oxygenation Phase 2 Medical Students Respiratory System A. J. Shearer Consultant Anaesthetics & Intensive Care.

Emergency Procedure and Patient Care-Lec-3 BY Asghar Director/Associate professor Riphah College of Rehabilitation Sciences(RCRS) Riphah International.

1 1 Case 1 Respiratory Emergencies © 2001 American Heart Association.

Combitube In-service Joe Lewis, M.D.,FACEP Schofield Barracks Ambulance Service.

1- For supporting ventilation in patient with some pathologic disease as:- : Upper airway obstruction : Respiratory failure : Loss of conciousness.

Department of Anesthesiology Uniformed Services University of the Health Sciences AIRWAY MANAGEMENT When you can’t breath, nothing else matters.

Emergency Department Of Rasool-Akram Hospital. Airway Management P. Hafezi MD Emergency Medicine.

Airway management and ventilation

Basic Airway ABDULLAH ALSAKKA EM CONSULTANT. Objectives Review airway anatomy Review basic airway maneuvers.

TRACHEOSTOMY & CRICOTHYROIDOTOMY

Airway + Breathing disorders, CPR notes Lukas Dadak, MD St. Ann's University Hospital, Brno

ADVANCED CONCEPTS IN EMERGENCY CARE (EMS 483)

Airway Complications of Intubation. Complications of Mechanical Ventilation Complications related to Intubation Mechanical complications related to presence.

Upper Airway management

INTUBATION REVIEW SFC HILL.

CAP Module 5 - Combitubes (GHEMS/DG_April2015) CAP – Module 5 COMBITUBES.

Airway Management in the Combat Casualty. Overview Discuss why we would secure an airway in the firefight casualty Discuss and analyze some options in.

Emergency Department.

Preoperative Assessment and Resuscitation Dr Mark Lambert Consultant Anaesthetist Royal National Throat, Nose and Ear Hospital Airway.

Airway and Ventilation

Tracheostomy care Presented by, Mrs.Starina Flower, M.Sc (N) Asst. Professor, Medical Surgical Nursing Department, Annammal College Of Nursing, Kuzhithurai.

Airway management L.Dadak ARK FNUSA. Maintaining airway Noninvasive airway laryngeal mask combitube invasive OTI, NTI coniotomy tracheotomy vocal cords.

Artificial Respiration

Airway Basics Matt Hallman, MD.

Jutarat Luanpholcharoenchai

Difficult Airway.

Lecture Title: Airway Evaluation and Management

Respiratory Emergencies

Endotracheal Intubation of Dogs and Cats (Anesthetist)

Failure to maintain or protect airway Comatose (prevents aspiration) Airway trauma Failure of ventilation or oxygenation Ventilation failure not.

Evaluation and Management

oro-and nasopharyngeal airways

MECHANICAL VENTILATION

Tracheal intubation Done by : Mohammad Damseh.

Laryngeal mask & other oro and nasophargeal apparatus .

Presentation transcript:

Airway Management L.Dadák, ARK FNUSA

Maintaining airway Noninvasive Noninvasive airwayairway laryngeal masklaryngeal mask combitubecombitube invasive invasive OTI, NTIOTI, NTI coniotomyconiotomy tracheotomytracheotomy vocal cords

First Aid - repetition FBAOFBAO

First Aid - repetition

Monitoring of breathing Auscultation lung + neckAuscultation lung + neck SpO2SpO2 capnography / capnometrycapnography / capnometry (arterial) blood gasses = Astrup(arterial) blood gasses = Astrup

SpO2 > 90%

CO2

CO2

Kapnograf

Bag Mask ventilation I: apnea, respiratory failure positive pressure ventilation positive pressure ventilation Tidal Volume = 6ml/kg = movements of Chest f /min % O2 1 hand: 4 hands

OroPharyngealAirway I: unconsciousness + airway obstruction with tongue Correct size OPA: distance angle of mouth --- ear Risk in mild unconsciousness: vomitus + aspiration

LM

LM placed against glottis (radix of tongue, recessus piriformis, esophageal superior sphincter) I: instead face mask, OTI, difficult airway KI: full stomach full stomach gastro-oesophageal reflux, gastro-oesophageal reflux, high inspiratory pressure high inspiratory pressure longer operation longer operation

Combitube emergency situations instead OTI emergency situations instead OTI I: difficult airway I: difficult airway KI: stenosing process in pharynx / trachea KI: stenosing process in pharynx / trachea

Tracheal intubation Def: Placing tube to trachea through mouth/nose and larynx. I: maintain open airway (GCS < 8) maintain open airway (GCS < 8) toilet (no cough) toilet (no cough) maintain ventilation (shock, hypoventilation) maintain ventilation (shock, hypoventilation) narrowest place in airway – vocal cords – subglotic space (<8let)

OTI, NTI - aids: laryngoscope laryngoscope Magill tongs Magill tongs tracheal tubes tracheal tubes syringe syringe lead lead

How to: prepare all aids, (ventilate) position of pat. LA, GA, coma direct laryngoscopy placing tube inflate cuff ensure position

crooked spoon - Macintosh crooked spoon - Macintosh straight spoon - Miller straight spoon - Miller Laryngoscope:

Laryngoscopic view: radix of tongue epiglottis vocal cords trachea

Always easy? (Cormac & Lehane)

Verify placing of the tube auscultation auscultation End tidal CO2 End tidal CO2 fibroscopic view fibroscopic view

Complications of TI - early: trauma of teeth, soft tissue trauma of teeth, soft tissue placed to esophagus / endobronchialy placed to esophagus / endobronchialy aspiration aspiration cardiovascular -  P,  f, arrhythmia cardiovascular -  P,  f, arrhythmia  ICP  ICP laryngospasmus, bronchospasmus laryngospasmus, bronchospasmus

Complication of TI - later: damage of vocal cords, trachea damage of vocal cords, trachea sinusitis, otitis, sinusitis, otitis, decubitus – lip, nose decubitus – lip, nose obturation of tracheal tube by secret, blood obturation of tracheal tube by secret, blood

How to do NTI: 1.LA anemisation of nose 2.tube through nose 3.placing tube under visual control CAVE: deviation of septum nasi

Check your neck Mallanpati Mallanpati

Coniotomy urgent access to airway urgent access to airway lig. cricothyreoideum (lig. conicum) lig. cricothyreoideum (lig. conicum)

Coniotomy First try to ventilate, OTI First try to ventilate, OTI find the ligament find the ligament DO it. DO it.

Tracheotomy surgical access to trachea surgical access to trachea punction TS punction TS I: maintain AW long time I: maintain AW long time artificial ventilation artificial ventilation limitation of dead space limitation of dead space