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Published byVirgil Lee Modified over 9 years ago
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Airway Management + Foreign Body Aspiration Aaqid Akram MBChB (2013) Clinical Education Fellow
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Objectives Understand basic anatomy of airway Recognise an obstructed airway Simple management techniques to improve airway Simple adjuncts to maintain airway Recognise need for definitive airway Understand how to insert a definitive airway Be able to follow the choking algorithm
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Larynx
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Obstructive Airway Snoring Choking Gurgling Stridor Hoarseness Silent Paradoxical ‘see-saw’ chest movement Cyanosis / hypoxia
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Choking Algorithm Assess Severity Severe (Ineffective Cough) Unconscious CPR Conscious 5 Back Blows 5 Abdominal Thrusts Mild (Effective Cough) Encourage Coughing
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ETT (Definitive Airway) LMA / iGel Simple Airway Adjunct OropharyngealNasopharyngeal Head Tilt + Chin Lift / Jaw Thrust Clear visible airway obstruction
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When is a definitive airway required? Airway Protection – GCS<8 – Severe maxillofacial / Multiple Trauma – Aspiration Risk – Airway obstruction risk – Head Injury with abnormal mental status Ventilation and Oxygenation – Respiratory arrest – Respiratory failure – Need for prolonged ventilatory support – Class III or IV Haemorrhage with poor perfusion – Severe Chest Injury – Severe Closed Head Injury (GCS<8)
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Have a read of this… http://airway.jems.com/2011/04/intubation- 101/ http://airway.jems.com/2011/04/intubation- 101/
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Objectives Understand basic anatomy of airway Recognise an obstructed airway Simple management techniques to improve airway Simple adjuncts to maintain airway Recognise need for definitive airway Understand how to insert a definitive airway Be able to follow the choking algorithm
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