04 - Airway and Breathing.pdf anesthesia

Airway and breathing

1. Airway and Breathing

2. Airway and Breathing
•Maintenance of Patent Airway
•Breath delivery

3. Maintenance of Patent Airway (Open Airway)

Requires either of two techniques:
•Head Tilt - Chin Lift
•Jaw Thrust
Airway and Breathing

4. Airway Opening
Head tilt- chin lift

5. Head tilt-
Chin lift
Airway Opening

6. Suspected Cervical Spine fracture
NO head tilt

7. NO head tilt
Jaw Thrust
Manual Spinal Motion Restriction
Suspected Cervical Spine fracture

8. •Mouth to mouth (barrier device) or Mouth to
mask or Bag & mask
•Provide 1 breath every 5 seconds in absence of
breathing
•2 breaths in cardiac arrest – 1001-1002-1003
•End Point: Visible chest rise; normal tidal
volume breath.

9. Airway and Breathing
•Maintenance of Patent Airway
•Breath delivery

10. Airway and Breathing
•Maintenance of Patent Airway

Breath delivery
•Mouth to mouth
•Mouth to mask
•Bag and mask

11. CPR Face Shield


Mouth to Mouth Respiration

12. Mouth to Mouth Respiration


CPR Face Shield

13. Mouth to Mask

14. Breathing:
Bag and Mask Ventilation


Self inflating bag
Port of O
2
connection
Port of reservoir
bag connection
Mask
Unidirectional
Valve

15. Single hand technique Both hand technique
Preferred device for giving breath when
more than one rescuers are present
Breathing:
Bag and Mask Ventilation

16. •Position:
Victim: Supine
Rescuer: On head end


•Mask:
Apex: Bridge of nose
Base: Groove over chin

C: Compress the mask with
thumb & index finger
forming letter ‘C’

E: Elevate the jaw (bony
part) with remaining 3 finger
forming letter ‘E’
Breathing:
Bag and Mask Ventilation

17. Mask Holding

18. •Give 1
st
breath over I sec and Chant 1001 - 1sec
•Release the bag and chant 1002 - 1 sec
•Give 2
nd
breath over I sec and Chant 1003 - 1 sec
•Release the bag and Start Compression

Total time for two breaths = 3 sec

Breathing:
Bag and Mask Ventilation

19. Breath
•2 Breaths - Each breath over 1 sec and 1 sec
pause after 1
st
breath.
•Mouth to mouth (barrier device) or Mouth to mask
or Bag & mask
•Do not interrupt chest compression unnecessarily.
•End Point: Visible chest rise;