DIFFICULT AIRWAY ASSESSMENT AND MANAGEMENT. BY DR AZHAR. DEFFINATION. American society of Anesthesiologist (ASA) suggested that when sign of inadequate ventilation could not be reversed by mask ventilation or oxygen saturation could not be maintained above 90% or
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DIFFICULT AIRWAYASSESSMENT ANDMANAGEMENT
American society of Anesthesiologist (ASA) suggested that when sign of inadequate ventilation could not be reversed by mask ventilation or oxygen saturation could not be maintained above 90% or
if a trained Anaesthetist usinig conventional larangoscope take’s more than 3 attempts or
more than 10 minute are required to complete tracheal intubation
Fact of the matter is even with proper evaluation only 15 to 50 % were picked up while difficult face mask ventilation in general is about 1:10,000 out of which again 15% proved to be the difficult intubation ,while incidence of extreme difficult or abandons intubation in general surgery patients are 1:2000 but in obstetrics is 1:300 and of course most critical incidence is Hypoxia
Mallampati classification with larangoscopic view.
TECHNIQUE OF MANAGEMENT
Manipulation of airway
different blade, bugie
LMA, ILMA, Combitube
Trantracheal Jet Ventilation
Bullard laryngoscope Fiber optic
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