Morbidity Review Tsumawi
... Patient haemodinamically stable in icu D1 post op was plan for extubation but patient apnoe on cpap, done direct videoscope in icu through right nasal cavity which unable to pass through the videoscope Proceed with glidescope, noted soft tissue swelling surrounding the supraglottic area, erythematou ...
... Patient haemodinamically stable in icu D1 post op was plan for extubation but patient apnoe on cpap, done direct videoscope in icu through right nasal cavity which unable to pass through the videoscope Proceed with glidescope, noted soft tissue swelling surrounding the supraglottic area, erythematou ...
100108 no pics Respiratory Assessment
... Inspiration – active process Expiration – passive process ...
... Inspiration – active process Expiration – passive process ...
promise hospital of east los angeles, lp
... 45 mm Hg in the setting of acidemia should prompt intubation, especially if serial measurements demonstrate a worsening respiratory acidosis. Regardless of the laboratory values, these guidelines should always be put in the clinical context.[64] ...
... 45 mm Hg in the setting of acidemia should prompt intubation, especially if serial measurements demonstrate a worsening respiratory acidosis. Regardless of the laboratory values, these guidelines should always be put in the clinical context.[64] ...
Non invasive ventilation (NIV)
... 3. Attach the interface and circuit to the ventilator . Turn on the ventilator and adjust it initially to low pressure setting. 4. Hold or allow the patient to hold the mask gently to the face until the patient becomes comfortable with it. Encourage the patient to use proper breathing technique. 5. ...
... 3. Attach the interface and circuit to the ventilator . Turn on the ventilator and adjust it initially to low pressure setting. 4. Hold or allow the patient to hold the mask gently to the face until the patient becomes comfortable with it. Encourage the patient to use proper breathing technique. 5. ...
Subglottic Stenosis and Laryngotracheal Reconstruction
... Combines laryngeal and cricoid split with cartilage grafts and stenting Success rates are greater than 90% Success defined by decannulation ...
... Combines laryngeal and cricoid split with cartilage grafts and stenting Success rates are greater than 90% Success defined by decannulation ...
Oxygenation Skills - Health Vista Home Page
... illness or chronic illnesses Type of airway Dementia, sensory impairment, or inability to express needs ...
... illness or chronic illnesses Type of airway Dementia, sensory impairment, or inability to express needs ...
Oxygenation
... to eliminate but can be reduced by using air filters. – Airway suctioning: Suctioning of the airway may be necessary to clear secretions the client cannot remove by coughing. ...
... to eliminate but can be reduced by using air filters. – Airway suctioning: Suctioning of the airway may be necessary to clear secretions the client cannot remove by coughing. ...
EMT Basic Advanced Airway Management
... Known esophageal disease or varices Under 16 y/o Under 5 feet or over 6 feet 8inches ...
... Known esophageal disease or varices Under 16 y/o Under 5 feet or over 6 feet 8inches ...
Cardiopulmonary Arrest - Dr. Roberta Dev Anand
... emphasizes the importance of maintaining perfusion and oxygen delivery to the central nervous system during and after an ...
... emphasizes the importance of maintaining perfusion and oxygen delivery to the central nervous system during and after an ...
Airway Management
... • But never forget… the previously manipulated airway (as frequently the case in PACU) is ANGRY!!! – While the “virgin” airway may tolerate a 7.5 just fine… the inflamed, angry, post-op airway may need a 7.0, a 6.0 or “worse” ...
... • But never forget… the previously manipulated airway (as frequently the case in PACU) is ANGRY!!! – While the “virgin” airway may tolerate a 7.5 just fine… the inflamed, angry, post-op airway may need a 7.0, a 6.0 or “worse” ...
Mask Ventilation
... ‣a full stomach airway in conditions such as: ‣nasal/facial fractures ‣ respiratory diseases, such as pneumonia ‣recent nasal/facial surgery ‣ neurological illnesses, such as apnea, seizure, or encephalitis ‣unrepair ...
... ‣a full stomach airway in conditions such as: ‣nasal/facial fractures ‣ respiratory diseases, such as pneumonia ‣recent nasal/facial surgery ‣ neurological illnesses, such as apnea, seizure, or encephalitis ‣unrepair ...
Was the PEDro rating accurate? PEDro scale can only rate what
... bronchopneumonia. He had a past history of obesity (BMI 34) and sleep apnoea. He was reviewed for mechanical ventilation but it was requested that the physiotherapy staff continue to manage the chest, including insertion of a nasopharyngeal or Guedels airway if necessary. The patient then proceeded ...
... bronchopneumonia. He had a past history of obesity (BMI 34) and sleep apnoea. He was reviewed for mechanical ventilation but it was requested that the physiotherapy staff continue to manage the chest, including insertion of a nasopharyngeal or Guedels airway if necessary. The patient then proceeded ...
Clinical Approach to Reactive Airways Disease Emergencies
... • Bronchodilators – Albuterol – AtroVent – Epinephrine • More Helpful with Copious Secretions ...
... • Bronchodilators – Albuterol – AtroVent – Epinephrine • More Helpful with Copious Secretions ...
Anesthetic Management of a Parturient Undergoing Cesarean
... pre-induction period; it can provide a method to secure an airway, but endotracheal replacement under direct fiberoptic bronchoscope was finally indicated.(6) The need for a high dose of inhalation drugs in LMA may hinder uterine contractions, and the concomitant addition of muscle relaxants might a ...
... pre-induction period; it can provide a method to secure an airway, but endotracheal replacement under direct fiberoptic bronchoscope was finally indicated.(6) The need for a high dose of inhalation drugs in LMA may hinder uterine contractions, and the concomitant addition of muscle relaxants might a ...
Tell Me About a Trach Before I Need One
... photo on the left. Or, it will fit into standard disposable ventilator tubing like the photo above. The Passy-Muir valve is a one-way valve, and when it is attached to the trach or placed in line with the ventilator tubing, it re-directs exhalation past the vocal cords and out the mouth and nose. Th ...
... photo on the left. Or, it will fit into standard disposable ventilator tubing like the photo above. The Passy-Muir valve is a one-way valve, and when it is attached to the trach or placed in line with the ventilator tubing, it re-directs exhalation past the vocal cords and out the mouth and nose. Th ...
The Kotler Nasal Airway ™
... Later, the anesthesia specialist, using the same flexible suction catheter, will happily avail himself of this direct pathway to the pharynx for suctioning blood and mucous from throat. This avoids the typical struggle with the awakening patient, as the anesthesia specialist seeks to traverse the or ...
... Later, the anesthesia specialist, using the same flexible suction catheter, will happily avail himself of this direct pathway to the pharynx for suctioning blood and mucous from throat. This avoids the typical struggle with the awakening patient, as the anesthesia specialist seeks to traverse the or ...
SaraGray-ED Extubation
... that would preclude safe extubation. Possible factors would include cervical spine injury or instability, acute lung injury, acute pharyngeal injury, or plans for an imminent operation or transport. Most importantly, attending physicians must take the time to carefully consider each case and ensure ...
... that would preclude safe extubation. Possible factors would include cervical spine injury or instability, acute lung injury, acute pharyngeal injury, or plans for an imminent operation or transport. Most importantly, attending physicians must take the time to carefully consider each case and ensure ...
What`s New with Tracheal Stenting for Collapsing Trachea
... pneumomediastinum, pneumonia and death. Tracheal stenting can be placed under fluoroscopy or placed via endoscope. In a recent study 90% of owners with a dog with endstage tracheal collapse that chose to have the procedure performed were pleased with the outcome if they were sufficiently educated be ...
... pneumomediastinum, pneumonia and death. Tracheal stenting can be placed under fluoroscopy or placed via endoscope. In a recent study 90% of owners with a dog with endstage tracheal collapse that chose to have the procedure performed were pleased with the outcome if they were sufficiently educated be ...
Pediatric Respiratory Management
... The Pediatric Airway •A straight blade is preferred for greater displacement of the tongue. •The pediatric airway narrows at the cricoid cartilage. •Uncuffed tubes should be used in children under 8 years of age. •Intubation is likely to cause a vagal response in children. Pediatric Endotracheal Tub ...
... The Pediatric Airway •A straight blade is preferred for greater displacement of the tongue. •The pediatric airway narrows at the cricoid cartilage. •Uncuffed tubes should be used in children under 8 years of age. •Intubation is likely to cause a vagal response in children. Pediatric Endotracheal Tub ...
Ear, Nose and Throat Surgery
... technique is generally GETA, usually with inhalation induction. Careful attention to airway patency is crucial; many of these patients will require oral airways. An IV is inserted and lactated Ringer's essentially run "wide open." Endotracheal intubation is usually "deep inhalational" (we use standa ...
... technique is generally GETA, usually with inhalation induction. Careful attention to airway patency is crucial; many of these patients will require oral airways. An IV is inserted and lactated Ringer's essentially run "wide open." Endotracheal intubation is usually "deep inhalational" (we use standa ...
Paradoxical_Vocal_Cord_Motion
... “spasm of the muscles may occur with violent inspiratory efforts and great distress, and may even lead to cyanosis”; “remarkable inspiratory cry, somewhat like the whoop of whooping-cough, but so intense it could be heard at long distance” ...
... “spasm of the muscles may occur with violent inspiratory efforts and great distress, and may even lead to cyanosis”; “remarkable inspiratory cry, somewhat like the whoop of whooping-cough, but so intense it could be heard at long distance” ...
CH_22_Upper_ Resp_anatomy
... • Vestibular folds (false vocal cords) • Vocal folds (true vocal cords) – during exhalation laryngeal muscles pull the folds across the opening and tense the folds – exhaled air induces vibrations which create sound waves – volume – pitch ...
... • Vestibular folds (false vocal cords) • Vocal folds (true vocal cords) – during exhalation laryngeal muscles pull the folds across the opening and tense the folds – exhaled air induces vibrations which create sound waves – volume – pitch ...
brachycephalic airway syndrome
... Surgery recommended for patients with significant clinical signs Emergency presentation with animal in severe breathing distress requires rapid medical intervention Oxygen supplementation If patient has high body temperature (hyperthermia), should be cooled with cool water and by directing a ...
... Surgery recommended for patients with significant clinical signs Emergency presentation with animal in severe breathing distress requires rapid medical intervention Oxygen supplementation If patient has high body temperature (hyperthermia), should be cooled with cool water and by directing a ...
Emergent evaluation of acute upper airway obstruction in children.
... ● Severe UAO can be surprisingly asymptomatic at rest if it develops gradually. Sudden clinical deterioration is unpredictable ● Patients with possible UAO must never be sedated until the airway is secured. Minimal sedation may precipitate acute respiratory failure ● Achievement of airway patency in ...
... ● Severe UAO can be surprisingly asymptomatic at rest if it develops gradually. Sudden clinical deterioration is unpredictable ● Patients with possible UAO must never be sedated until the airway is secured. Minimal sedation may precipitate acute respiratory failure ● Achievement of airway patency in ...
Tracheal intubation
Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. It is frequently performed in critically injured, ill or anesthetized patients to facilitate ventilation of the lungs, including mechanical ventilation, and to prevent the possibility of asphyxiation or airway obstruction.The most widely used route is orotracheal, in which an endotracheal tube is passed through the mouth and vocal apparatus into the trachea. In a nasotracheal procedure, an endotracheal tube is passed through the nose and vocal apparatus into the trachea. Other methods of intubation involve surgery and include the cricothyrotomy (used almost exclusively in emergency circumstances) and the tracheotomy, used primarily in situations where a prolonged need for airway support is anticipated.Because it is an invasive and extremely uncomfortable medical procedure, intubation is usually performed after administration of general anesthesia and a neuromuscular-blocking drug. It can however be performed in the awake patient with local or topical anesthesia, or in an emergency without any anesthesia at all. Intubation is normally facilitated by using a conventional laryngoscope, flexible fiberoptic bronchoscope or video laryngoscope to identify the vocal cords and pass the tube between them into the trachea instead of into the esophagus. Other devices and techniques may be used alternatively.After the trachea has been intubated, a balloon cuff is typically inflated just above the far end of the tube to help secure it in place, to prevent leakage of respiratory gases, and to protect the tracheobronchial tree from receiving undesirable material such as stomach acid. The tube is then secured to the face or neck and connected to a T-piece, anesthesia breathing circuit, bag valve mask device, or a mechanical ventilator.Once there is no longer a need for ventilatory assistance and/or protection of the airway, the tracheal tube is removed; this is referred to as extubation of the trachea (or decannulation, in the case of a surgical airway such as a cricothyrotomy or a tracheotomy).For centuries, tracheotomy was considered the only reliable method for intubation of the trachea. However, because only a minority of patients survived the operation, physicians undertook tracheotomy only as a last resort, on patients who were nearly dead. It was not until the late 19th century however that advances in understanding of anatomy and physiology, as well an appreciation of the germ theory of disease, had improved the outcome of this operation to the point that it could be considered an acceptable treatment option.Also at that time, advances in endoscopic instrumentation had improved to such a degree that direct laryngoscopy had become a viable means to secure the airway by the non-surgical orotracheal route. By the mid-20th century, the tracheotomy as well as endoscopy and non-surgical tracheal intubation had evolved from rarely employed procedures to becoming essential components of the practices of anesthesiology, critical care medicine, emergency medicine, laryngology.Tracheal intubation can be associated with minor complications such as broken teeth or lacerations of the tissues of the upper airway. It can also be associated with potentially fatal complications such as pulmonary aspiration of stomach contents which can result in a severe and sometimes fatal chemical aspiration pneumonitis, or unrecognized intubation of the esophagus which can lead to potentially fatal anoxia. Because of this, the potential for difficulty or complications due to the presence of unusual airway anatomy or other uncontrolled variables is carefully evaluated before undertaking tracheal intubation. Alternative strategies for securing the airway must always be readily available.