Principles of Airway Management Swansea University气道管理原则斯旺西大学.pptVIP

Principles of Airway Management FFP Module 7 Indications for airway protection Decreased level of consciousness GCS 9 Cerebral injury Surgery Medical problems Potential causes of airway obstruction Tongue Dentures Food stuffs Vomit Blood Secretions Techniques to clear material from airway Suction Postural airway manoeuvres Basic life support chocking protocol Up to 5 back slaps Up to 5 abdominal thrusts Only if unconscious up to 5 chest thrusts If unsuccessful to clear airway then Basic Life Support Opening the Airway Check the airway Open the airway, place one hand on the victims forehead and gently tilt head back Remove any visible obstruction from the victims mouth, including dislodged dentures. Leave well fitting dentures in place DO NOT ATTEMPT ANY FINGER SWEEPS Opening the airway Jaw thrust technique may be needed if C-spine injury Simple airway adjuncts Nasopharyngeal airway insertion Oropharyngeal airway insertion Laryngeal Mask Airways The Laryngeal Mask Airway Latex-free, silicone rubber tube connected to an elliptical mask with an inflatable outer rim Standard 15 mm male adaptor Pilot tube and balloon attached to the inflatable outer rim Bars cover the connection between the tube and the mask Re-useable up to 40 times (Autoclave) Insertion Technique Open the mouth and press the tip of the cuff upward against the palate and flatten the cuff against it Use index finger to guide LMA, pressing backwards along the palate towards ears until resistance is felt The tip now rests in the hypopharynx Insertion Technique Use other hand to press down on LMA tube while removing index finger Inflate with 2-4 ml air to seal (60 cm H20 maximum) Don’t hold the tube while inflating the balloon, it moves outward a little as it seats properly LMA in Place Intubation Nasotracheal intubation Questions *Richard Lake Richard Lake * * *Richard Lake