ARTICIAFICAL AIRWAYS

Oral
Nasal
Tracheostomy
Endotracheal
Purposes
Relives airway obstruction
Provide access for secretion
removal
Protect airway for gross
aspiration
Route for mechanical ventilator
Materials
Mask
Gloves
ET tube
Laryngoscope
o Macintosh curve (C)
o Miller straight (L)
Batteries
Lubricant
Stylet
Local anesthetic
Review
ET/Tracheostomy care
Cuff inflation
o Minimal occlusive volume
put the stethoscope
over the trachea and
inject air (listen). Stop
when you dont hear
sounds anymore.
o Minimal leak technique
10cc of air and listen.
Withdraw a little air, if
you hear a little leak then
it is okay already.

Mechanical Ventilator machine

that generates a controlled flow of gas
into a patients airways
Purposes:
Decrease work of breathing
Increase alveolar ventilation
Maintain ABGs within normal
range
Increase distribution of gases
*Oxygenation, Breathing, Ventilation
Tidal Volume
the volume of air inhaled and
exhaled from the lungs
Ventilator Setting (VS) 58ml/kg of ideal body wt. (pt.
with non-restrictive pulmonary
disease)
FiO2 (Fractioned inspired oxygen)
Amount of oxygen patient
receives
2
TYPES
OF
MECHANICAL
PRESSURE
Positive Pressure invasive
o Pressure cycled
o Volume cycled most
commonly used
Negative
Pressure

noninvasive (Iron Lung)

Check for DOPE Displacement
(breath
sounds),
Obstruction
(suctioned), Pneumothorax (Pressure),
Equipment
ET care 24-48 hours (changing of
placement)