呼吸道通气方法 BLS ALS.pptVIP

Airway Ventilation Methods: BLS ALS Airway Ventilation Methods: BLS ALS Esophageal Obturator Airway Esophageal Gastric Tube Airway Used less frequently today Increased complication rate Significant contraindications Better alternative airways are now available LMA Esophageal Gastric Tube Airway (EGTA) Airway Ventilation Methods: BLS ALS Lighted Stylette Not yet widespread use expensive Another method of visual feedback re. placement in trachea Airway Ventilation Methods: ALS Airway Ventilation Methods: ALS Pharmacologic Assisted Intubation (“RSI”) Sedation Reduce anxiety Induce amnesia Depress gag reflex spontaneous breathing Used for induction anxious or agitated patient Contraindications hypersensitivity hypotension Airway Ventilation Methods: ALS Pharmacologic Assisted Intubation (“RSI”) Common Medications for Sedation/Induction Benzodiazepines (diazepam, midazolam) Narcotics (fentanyl) Anesthesia Induction Agents etomidate ketamine propofol (Diprivan?) Airway Ventilation Methods: ALS Pharmacologic Assisted Intubation (“RSI”) Neuromuscular Blockade Induces temporary skeletal muscle paralysis Indications When Intubation is required in a patient who is awake, has a gag reflex, or is agitated or combative * * From AHA ACLS