
5f11e37216e2036
... • Direct visualization of the tube passing through the vocal cords. • Clear and equal bilateral breath sounds on auscultation of the chest • Absent sounds on auscultation of the epigastrium • Equal bilateral chest rise with ventilation • An absence of stomach contents in the tube Instruments to conf ...
... • Direct visualization of the tube passing through the vocal cords. • Clear and equal bilateral breath sounds on auscultation of the chest • Absent sounds on auscultation of the epigastrium • Equal bilateral chest rise with ventilation • An absence of stomach contents in the tube Instruments to conf ...
Paediatric Resuscitation - Calgary Emergency Medicine
... Ciarallo L. Intravenous magnesium therapy for moderate to severe pediatric asthma: results of a randomized, placebocontrolled trial. J Pediatr. 1996;129:809–814 ...
... Ciarallo L. Intravenous magnesium therapy for moderate to severe pediatric asthma: results of a randomized, placebocontrolled trial. J Pediatr. 1996;129:809–814 ...
Rapid Sequence Intubation Guide -‐ Adult
... 7. Ventilator (if available) Initial settings: A. Assist/Control or SIMV mode (or bag). B. Begin with 100% Fi02, then titrate down to maintain adequate 02 saturation. C. Tidal volume 10ml/kg of ideal weight (average 600-700ml). D. Resp rate 10-12 breaths/min (correlate clinically and with blood gase ...
... 7. Ventilator (if available) Initial settings: A. Assist/Control or SIMV mode (or bag). B. Begin with 100% Fi02, then titrate down to maintain adequate 02 saturation. C. Tidal volume 10ml/kg of ideal weight (average 600-700ml). D. Resp rate 10-12 breaths/min (correlate clinically and with blood gase ...
Retropharyngeal dissection: A rare complication of nasotracheal
... With the tube in that position, a laryngoscopy was performed. It was then that the source of resistance was recognized. Behind the posterior pharyngeal wall was the outline of the endotracheal tube, which appeared to end in a pouchlike formation. The differential diagnosis between retropharyngeal di ...
... With the tube in that position, a laryngoscopy was performed. It was then that the source of resistance was recognized. Behind the posterior pharyngeal wall was the outline of the endotracheal tube, which appeared to end in a pouchlike formation. The differential diagnosis between retropharyngeal di ...
AIRWAY MANAGEMENT
... The intercostal muscles and the diaphragm contract, increasing the size of the thoracic cavity. The diaphragm moves slightly downward, the ribs move upward/outward and air flows into the lungs Inhalation Exhalation is the reverse ...
... The intercostal muscles and the diaphragm contract, increasing the size of the thoracic cavity. The diaphragm moves slightly downward, the ribs move upward/outward and air flows into the lungs Inhalation Exhalation is the reverse ...
Checklist for Evaluation of ACA during Elective/Routine Case
... Administers induction drugs o Instructs assistant when to apply cricoid pressure o ...
... Administers induction drugs o Instructs assistant when to apply cricoid pressure o ...
Advanced Nursing Concepts Part 2
... • The rate, depth and rhythm of ventilation are controlled by The respiratory centers in the medulla and the pons. • When CO2 is HIGH or the O2 level is LOW, chemoreceptors in the respiratory center, the carotid arteries, and the aorta send messages to the medulla to stimulate ...
... • The rate, depth and rhythm of ventilation are controlled by The respiratory centers in the medulla and the pons. • When CO2 is HIGH or the O2 level is LOW, chemoreceptors in the respiratory center, the carotid arteries, and the aorta send messages to the medulla to stimulate ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
... Drugs like ketamine,etomidate and narcotics have minimal depressing effect on cardiac function and are used frequently.5 We used ketamine and fentanyl for induction. Methods to improve cardiac output include Inotropes biventricular synchronized pacing intra-aortic balloon pump may be required. ...
... Drugs like ketamine,etomidate and narcotics have minimal depressing effect on cardiac function and are used frequently.5 We used ketamine and fentanyl for induction. Methods to improve cardiac output include Inotropes biventricular synchronized pacing intra-aortic balloon pump may be required. ...
ENDOTRACHEAL INTUBATION - Weebly
... Predicted difficult airway Predicted exaggerated hypotensive response to induction medications used for RSI RSI not needed as in cases of arrested, critically ill, or intrinsically sedated patient. ...
... Predicted difficult airway Predicted exaggerated hypotensive response to induction medications used for RSI RSI not needed as in cases of arrested, critically ill, or intrinsically sedated patient. ...
Inter-facility Transport (IFT)Part 1General
... • Attempt assisted positive ventilation with BVM if spontaneous breathing is absent or remain inadequate • Apply adjunct airway like oropharyngeal and nasopharyngeal airway ...
... • Attempt assisted positive ventilation with BVM if spontaneous breathing is absent or remain inadequate • Apply adjunct airway like oropharyngeal and nasopharyngeal airway ...
Pediatrics - Dr. Tara – Lecture 4 – Respiratory Infections
... 2. WBC count is usually normal 3. RSV may be isolated from nasopharyngeal secretions by PCR,culture 4. Hypoxemia may occur secondary to ventilation perfusion mismatch. 5. Hypercapnia is rare occurring in severely affected infants wit with h sever airway obstruction and respiratory fatigued ...
... 2. WBC count is usually normal 3. RSV may be isolated from nasopharyngeal secretions by PCR,culture 4. Hypoxemia may occur secondary to ventilation perfusion mismatch. 5. Hypercapnia is rare occurring in severely affected infants wit with h sever airway obstruction and respiratory fatigued ...
Anaesthetic management of tracheal tear
... management of tracheal rupture. The tubes are readily available and can be accurately placed provided that careful clinical assessment, fiberoptic bronchoscopy and regular chest radiography are employed. The tubes can migrate from their intended position and considerable attention must be paid to se ...
... management of tracheal rupture. The tubes are readily available and can be accurately placed provided that careful clinical assessment, fiberoptic bronchoscopy and regular chest radiography are employed. The tubes can migrate from their intended position and considerable attention must be paid to se ...
Rapid Sequence Intubation
... Identify the Indicators for using RSI Identify the relative contraindications and disadvantages of RSI Discuss the different roles in the RSI process Review the crucial 7 P’s of RSI Review the medications used during RSI Review a difficult airway and identify alternative tools and techni ...
... Identify the Indicators for using RSI Identify the relative contraindications and disadvantages of RSI Discuss the different roles in the RSI process Review the crucial 7 P’s of RSI Review the medications used during RSI Review a difficult airway and identify alternative tools and techni ...
Rapid Sequence Intubation - Louisiana State University
... the patient with 100% O2 via BVM until spontaneous respiration's return, or if you are unable to adequately ventilate the patient you will need to perform a cricothyroidotomy. ...
... the patient with 100% O2 via BVM until spontaneous respiration's return, or if you are unable to adequately ventilate the patient you will need to perform a cricothyroidotomy. ...
Acute Respiratory Failure Stages of ABG`s
... Upper airway obstruction (rare) mass, foreign body, infection Redundant tissues obese patient can make views difficult, may want a bigger laryngoscope blade ...
... Upper airway obstruction (rare) mass, foreign body, infection Redundant tissues obese patient can make views difficult, may want a bigger laryngoscope blade ...
RSI Check List
... _____________ Intubator _____________]Prepare air way equipment Intubator’s assistant _____________]suction, pass tube, hold corner of mouth Cricoid / External Laryngeal Manipulation _____________) C-spine stabilisation if required _____________)assist with drug preparation Monitoring, lines, fluids ...
... _____________ Intubator _____________]Prepare air way equipment Intubator’s assistant _____________]suction, pass tube, hold corner of mouth Cricoid / External Laryngeal Manipulation _____________) C-spine stabilisation if required _____________)assist with drug preparation Monitoring, lines, fluids ...
Chapter 15: Airway Management and Ventilation
... intubation, face-to-face intubation, and intubation with the use of a lighted stylet (transillumination). An important step in intubation is confirmation of tube placement. Continuous waveform capnography, in addition to a clinical assessment (such as auscultation of breath sounds and over the epiga ...
... intubation, face-to-face intubation, and intubation with the use of a lighted stylet (transillumination). An important step in intubation is confirmation of tube placement. Continuous waveform capnography, in addition to a clinical assessment (such as auscultation of breath sounds and over the epiga ...
Inhalation injury
... Delayed presentation Most common in under 5’s and over 75’s Risks – enclosed space, increased time, underlying respiratory disease. ...
... Delayed presentation Most common in under 5’s and over 75’s Risks – enclosed space, increased time, underlying respiratory disease. ...
Ettinger: Textbook of Veterinary Internal Medicine, 7th Edition
... of the test must always be weighed against the possible risk of the procedure. What is a tracheal wash and how is it performed? A tracheal wash is performed by passing a tiny plastic tube (catheter) into the airways. Through this tube a small amount of fluid can be "washed" into and out of the lung. ...
... of the test must always be weighed against the possible risk of the procedure. What is a tracheal wash and how is it performed? A tracheal wash is performed by passing a tiny plastic tube (catheter) into the airways. Through this tube a small amount of fluid can be "washed" into and out of the lung. ...
Crisis Management
... You are anaesthetising a young women for an appendicectomy. She is clinically moderately dehydrated due to poor oral intake and vomiting. Shortly after intubation, her bp dropped to 70/40. immediaetly put on 1 pint colloid run fast. But, instead of bp pick up, now her bp is unrecordable, she becam ...
... You are anaesthetising a young women for an appendicectomy. She is clinically moderately dehydrated due to poor oral intake and vomiting. Shortly after intubation, her bp dropped to 70/40. immediaetly put on 1 pint colloid run fast. But, instead of bp pick up, now her bp is unrecordable, she becam ...
Deluxe Difficult Airway Trainer
... full rise and fall of the chest during bag valve mask ventilation. The neck skin collar is designed to provide multiple sites for needle and surgical techniques. When a fresh site is needed, rotate the collar in either direction. If the neck skin collar is showing wear, discard and replace with a ne ...
... full rise and fall of the chest during bag valve mask ventilation. The neck skin collar is designed to provide multiple sites for needle and surgical techniques. When a fresh site is needed, rotate the collar in either direction. If the neck skin collar is showing wear, discard and replace with a ne ...
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.