Professional Documents
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Airway anatomy
Positioning
Airway adjuncts
Conclusion
Upper airway
Lower airway
Remove Debris/Suction
Airway Adjuncts:
Nasal airway
Oral airway
Others
medical patients
Jaw-thrust
Suspected spinal
injury
Airway instruments
Face mask
Face mask
Appropriate size: cover from the bridge of the
nose to chin
To get a tight seal: EC-clamp technique
The thumb and index finger hold the mask firmly over
Sniffing position
Laryngoscope
Oral airway
Keep the tongue from
falling back
Unresponsive patient
Nasopharyngeal airway
Inserted into patient's
nostrils
Tip of patients nose
to the earlobe
Nasopharyngeal airway
Avoided in patients with:
evidence of fracture of middle third of face.
Base of skull fracture.
Endotracheal tube
PVC
Choose appropriate size
Male : 7.5 8.0 (ID)
Intubating Stylet
-Prepare equipment
-Pre-oxygenate
Sweep
Left and
Look
Direct
Visualization
Lung Sounds
Tube
Condensation
ETCO2 (monitor)
Lung expansion
Improvised devices
Immobilization
Common Mistakes
Making a difficult intubation more difficult
Rushing
Poor equipment preparation
Other options
Blind nasal
Fibreoptic intubation
Retrograde intubation
Trach light
Cook airway / Bougie
LMA / Combitube / Laryngeal tube
Tracheostomy
Helpful adjuncts
Gum
Elastic
Bougie
Helpful adjuncts
Laryngeal Mask Airway
Helpful adjuncts
Laryngeal Mask Airway
Indications:
-When definitive airway management
cannot be obtained. (ETT)
Not a substitute for definitive airway
management
Helpful adjuncts
Laryngeal Mask Airway
Contraindication/Limitations:
-Obesity
-Non-secure
-Size based
Helpful adjuncts
Laryngeal Mask Airway
Weight Based Sizing
<5kg = Size 1
5-10 kg = Size 2
20-30 kg = Size 2.5
Small Adult= Size 3
Average Adult = Size 4
Large Adult = Size 5
Helpful adjuncts
Laryngeal Mask Airway
Helpful adjuncts
Laryngeal Mask Airway
Procedure:
-Pre oxygenate
-Check cuff
Helpful adjuncts
Laryngeal Mask Airway
Air volume is variable depending on cuff size
and individual patient anatomy
General Guideline:
Size 1 = 4 ml
Size 2 = 10 ml
Size 2.5 = 14 ml
Size 3 = 20 ml
Size 4 = 30 ml
Size 5 = 40 ml
Helpful adjuncts
Laryngeal Mask Airway
Common Problems:
-Failure to seat properly
-Sizing difficulties
-Aspiration
Helpful adjuncts
Dual Lumen Airway
(Combitube)
Helpful adjuncts
Dual Lumen Airway
Indications:
-When definitive airway management
cannot be obtained. (ETT)
Not a substitute for definitive airway
management
Helpful adjuncts
Dual Lumen Airway
Contraindications/Limitations:
-No pediatrics
-Pathological esophageal disease
-Non-secure airway
-Latex sensitivity
Helpful adjuncts
Dual Lumen Airway
Procedure:
-Pre oxygenate
-Check equipment.
-Head in neutral position
Helpful adjuncts
Dual Lumen Airway
Procedure:
Inflate Pharyngeal cuff
(blue) with 85-100cc of
air
Inflate tracheal cuff
(white) with 10-15cc of
air
Helpful adjuncts
Dual Lumen Airway
-Ventilate port 1 (longer, blue tube, #1).
If no lung sounds, switch ports
-Ventilate port 2 (shorter, white tube, #2)
*You will be either in the esophagus or the trachea
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Helpful adjuncts
Lighted Stylette
AIRWAY
Conclusion
Always oxygenate patient before and after
intubation.
Do not attempt intubation unless you are