04 Airway Management
04 Airway Management
04 Airway Management
2/15/2003 , 1
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Basic airway management and ventilation The laryngeal mask airway and Combitube Advanced techniques of airway management
Advanced Life Support Common causes of airway obstruction Upper Airway tongue soft tissue oedema, foreign material blood, vomit Larynx laryngospasm, foreign material Lower Airway secretions, oedema, blood bronchospasm aspiration of gastric contents
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Advanced Life Support Recognition of airway obstruction LOOK for chest/abdominal movement LISTEN at mouth and nose for breath sounds, snoring, gurgling
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FEEL
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Advantages Avoids direct person to person contact Allows oxygen supplementation up to 85% Can be used with facemask, LMA, Combitube, tracheal tube
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Limitations When used with a facemask: Risk of inadequate ventilation Risk of gastric inflation Need two persons for optimal use
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Advantages Rapidly and easily inserted Variety of sizes More efficient ventilation than facemask Avoids the need for laryngoscopy
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Limitations No absolute guarantee against aspiration Not suitable if very high inflation pressures needed Unable to aspirate airway
Fig 2
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Fig 3
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The Combitube
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Advantages Rapidly and easily inserted Avoids need for laryngoscopy Protects against aspiration Can be used if inflation pressures high
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Limitations Available in 2 sizes only Potential for ventilation via wrong lumen Damage to cuffs on insertion Trauma on insertion Single use
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Tracheal Intubation
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Advantages Allows ventilation with up to 100% O2 Isolates airway, preventing aspiration Allows aspiration of the airway Alternative route for drug administration
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Limitations Training and experience essential Failed insertion, oesophageal placement Potential to worsen cervical cord or head injury
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Any Questions?
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Recognise and relieve airway obstruction using basic techniques Oxygen The role of the LMA, Combitube and tracheal intubation in managing the airway during CPR
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