呼吸道通气方式BLSALS.pdfVIP

呼吸道通气方式BLSALS

AirwayVentilationMethods:

BLSALS

EsophagealObturatorAirway

EsophagealGastricTubeAirway

Usedlessfrequentlytoday

Increasedcomplicationrate

Significantcontraindications

Betteralternativeairwaysarenowavailable

LMA

EsophagealGastricTubeAirway

(EGTA)

FromAHAACLS

AirwayVentilationMethods:

BLSAL

LightedStylette

Notyetwidespreaduse

expensive

Anothermethodofvisualfeedbackre.

placementintrachea

AirwayVentilationMethods:

AL

AirwayVentilationMethods:

ALS

PharmacologicAssistedIntubation(“RSI”)

Sedation

Reduceanxiety

Induceamnesia

Depressgagreflexspontaneousbreathing

Usedfor

induction

anxiousoragitatedpatient

Contraindications

hypersensitivity

hypotension

AirwayVentilationMethods:

ALS

PharmacologicAssistedIntubation(“RSI”)

CommonMedicationsforSedation/Induction

Benzodiazepines(diazepam,midazolam)

Narcotics(fentanyl)

AnesthesiaInductionAgents

etomidate

ketamine

propofol(Diprivan®)

AirwayVentilationMethods:

ALS

PharmacologicAssistedIntubation(“RSI”)

NeuromuscularBlockade

Inducestemporaryskeletalmuscleparalysis

Indications

WhenIntubationisrequiredinapatientwho

isawake,

hasagagreflex,or

isagitatedorcombative