Signs of Airway Obstruction Stridor Snoring Gurgling Inability to speak Cyanosis Use of accessory muscles Decreased LOC
Causes of Airway Obstruction Tongue fall in unconscious patients Vomitus , blood, secretions Foreign body Facial trauma Laryngeal spasm/edema
Airway Obstruction
Basic Airway Maneuvers Head Tilt–Chin Lift (non-trauma) Jaw Thrust (trauma patients) Suctioning Recovery position
Basic Airway Maneuvers
Bag-Valve-Mask (BVM) Ventilation
Airway Adjuncts: OPA and NPA Oropharyngeal Airway (OPA): unconscious only, measure mouth to mandible Nasopharyngeal Airway (NPA): semi-conscious, measure nose to earlobe Avoid NPA in basal skull fracture
Oropharyngeal Airway (OPA)
Nasopharyngeal Airway (NPA):
Bag-Valve-Mask (BVM) Ventilation Positive pressure ventilation Good mask seal is critical Two-person technique preferred Risk: gastric insufflation Rescue Breath Each Breath After Every 6 Second