airway by important for critical students tc.pptx

It is,best document for emergency and critical care students

1. Airway management By Tilahun C (MD)

2. Outlines Care of the airway Noninvasive airway management Breathing management 1/27/2023 2

3. Objectives At the end of the session, the participant will be able to: Describe airway management Demonstrate airway maneuvers 1/27/2023 3

4. Case scenario You are called to see a patient who is unresponsive and making aloud snoring noise. He is on 4L/min intranasal oxygen and his oxygen saturation is 79% . is his airway patent ? does he require airway intervention? does he have a potential difficulty airway? does he need intubation? Does he need surgical airway? 1/27/2023 4

5. Airway management Airway obstruction affects people of all ages and sex Almost 99% is acquired. It requires proper history taking and use of proper diagnostic methods. 1/27/2023 5

6. Anatomy and physiology Main function Oxygenation Ventilation To maintain this functions the airway should be patent or clear of obstruction 1/27/2023 6

7. Aims of Airway Assessment To open or to bypass the airway obstruction To assist breathing or ventilation To protect the lungs from contamination or aspiration 1/27/2023 7

8. Cont’d 1/27/2023 8

9. Airway Assessment Determine responsiveness assess the airway How do you assess airway ? 1/27/2023 9

10. Airway Assessment cont’d…. Check for the presence of breathing effort Feel for gas movement around the mouth and nose; check for abnormal sounds such as stridor, hoarse sounds Look for Increased secretions quality of chest movement and increase work of breath 1/27/2023 10

11. Action Open the airway using head tilt, chin lift and jaw thrust Remove secretions using large bore suction tube Reposition the tongue using adjuvant equipment (oropharyngeal or nasopharyngeal airways) 1/27/2023 11

12. Airway maneuvers 1/27/2023 12 jaw thrust head tilt, chin lift

13. Airway equipment 1/27/2023 13

14. Breathing Management Bag-mask Ventilation Have functional and appropriate size of ambubag Position patient supine Open the airway using head tilt, chine lift or jaw thrust Connect the ambubag to o2 source 1/27/2023 14

15. Breathing Management cont’d… Use C&E method or use two hands with jaw thrust to fix the ambubag Squeeze gently the bag carefully Give 10-12 breaths per minute If the air is going more to the stomach, reposition the patient 1/27/2023 15

16. Breathing … 1/27/2023 16 C and E grip LMA

17. Laryngeal mask airway LMA For temporary airway management Can ventilate but can’t intubate Is one of supralaryngeal airway equipment 1/27/2023 17

18. Patient Monitoring Respiratory rate Oxygen saturation Capnography 1/27/2023 18

19. Summary Airway management is important to save the life of the patient Airway assessment should be done before doing any intervention Prepare all equipment for airway management Always have plan B 1/27/2023 19

20. ? 1/27/2023 20

21. Airway management practical session Group in team of 5 Practice airway chin-lift , Jaw thrust C- spine immobilization Oral airway insertion Nasopharyngeal airway insertion LMA insertion BVM –One hand and two hand technique 1/27/2023 21