Airway and ventilatory managment
Sponsored Links
This presentation is the property of its rightful owner.
1 / 24

Airway and Ventilatory Managment PowerPoint PPT Presentation


  • 82 Views
  • Uploaded on
  • Presentation posted in: General

Airway and Ventilatory Managment. Objectives. Identify setting Regonize AWO Manage airway Define definitive airway. Coma Aspiration Facial trauma Neck trauma. Picture of bomb to face. Airway obstruction. Airway Obstruction Regonition. Look. Airway Obstruction Regonition. Listen.

Download Presentation

Airway and Ventilatory Managment

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Airway and Ventilatory Managment


Objectives

  • Identify setting

  • Regonize AWO

  • Manage airway

  • Define definitive airway


Coma

Aspiration

Facial trauma

Neck trauma

Picture of bomb to face

Airway obstruction


Airway Obstruction Regonition

  • Look


Airway Obstruction Regonition

  • Listen


Airway Obstruction Regonition

  • Feel


Adequate Breathing

  • Provide oxygen

  • Subtle deterioration of breathing

  • Caution!

    • Coma

    • SCI

    • Chest trauma


Look

Listen

Inadequate Breathing


Feel

Adjuncts

Inadequate Breathing


Adequate oxygenation

  • Requires

    • Oxygen

    • Definitive airway

    • Ventilation

  • Caution

    • Protect C-spine


Airway Maintenance

  • Chin lift

  • Jaw thrust

  • Oral airway

  • Nasal airway


Need for Airway

Coma

Maxillofacial injury

Aspiration

Airway injury

Need for Breathing

Apnea

Hypoxia

Hypercapnia

Brain injury

Definitive Airway

Definitive aw = cuffed tube in trachea


Definitive Airway

  • Orotracheal

  • Nasotracheal

  • Surgical airway


Right Bronchial intubation

  • Xray of right bronchial intubation


RSI

  • Be prepared for surgical airway

  • Requires skill and training

  • Urgency must justify risk


Surgical Airway

  • Indications

    • Inability to intubate the trachea

    • Maxillofacial trauma

    • Neck injury

  • Methods

    • Needle

    • Surgical


Defnintive Airway:Immediate need:Apneic patient

  • Protect c spin

  • Oxgyenate ventilate

  • Orotracheal intubation (No nasotracheal intubation b/c of apnea)

  • If unable to intubate  surgical airway


Defnintive Airway:Immediate need:Breathing patient

  • Protect c spine

  • Oxgyenate ventilate

  • Oro or nasotracheal intubation, maintain c-spine position

  • If unable to intubate  surgical airway


Defnintive Airway:Immediate need:Maxillofacial trauma

  • Protect c spine

  • Oxgyenate and ventilate as needed

  • If unable to intubate  surgical airway


Oxygenate and Ventilate

  • Goal = achieve maximal cellular oxygen

  • O2 at 10-12 L/min

  • Tight fitting mask with resevoir

  • Ventilate

  • Avoid prolonged intubation attempts


Pulsoximeter

Measures oxygenated hemoglobin

Utility

Difficult intubation

Transport

Pa02 vs sat

90 = 100%

60 = 90%

30 – 60%

Monitor Oxygenation


Oxygen – Hb dissociation curve


Questions on this section?


Summary

  • Suspect airway compromise

  • Protect C-spine

  • Open airway and ventilate

  • If in doubt  definitive airway

  • Adequate oxygen delivery


  • Login