Section_3_Assist_physician
... Always ensure that a manual resuscitator bag-valve-mask and oxygen source are nearby in case a patient experiences severe adverse effects of procedures such as bronchoscopy, chest tube insertion, thoracentesis, or cardioversion Always make sure that the patient is NPO for at least 8-12 hours pri ...
... Always ensure that a manual resuscitator bag-valve-mask and oxygen source are nearby in case a patient experiences severe adverse effects of procedures such as bronchoscopy, chest tube insertion, thoracentesis, or cardioversion Always make sure that the patient is NPO for at least 8-12 hours pri ...
St. Luke`s College of Medicine-William H. Quasha Memorial Batch
... Insert the airway sideways and rotate it 90O Oral Pharyngeal Airway Definitive airway should be established if there is any doubt about the patient’s ability to maintain integrity Advantages of tracheal intubations: Airway patency Protects the airway Maintains patency during positioning In ...
... Insert the airway sideways and rotate it 90O Oral Pharyngeal Airway Definitive airway should be established if there is any doubt about the patient’s ability to maintain integrity Advantages of tracheal intubations: Airway patency Protects the airway Maintains patency during positioning In ...
Trauma patients are always considered to have full stomach
... without protective gag reflex Do not use in any patient with injury to the esophagus and children below 15 Pay attention to placement ...
... without protective gag reflex Do not use in any patient with injury to the esophagus and children below 15 Pay attention to placement ...
Where is the femoral vein in relation to the femoral artery?
... 4) Evaluate respiratory statuslisten to end of tube for breathing 5) Visualize with laryngescope ...
... 4) Evaluate respiratory statuslisten to end of tube for breathing 5) Visualize with laryngescope ...
Where is the femoral vein in relation to the femoral artery?
... 4) Evaluate respiratory statuslisten to end of tube for breathing 5) Visualize with laryngescope ...
... 4) Evaluate respiratory statuslisten to end of tube for breathing 5) Visualize with laryngescope ...
Ron Brown - North Region EMS
... Does not protect airway Does not allow for adequate ventilation, only oxygenation ...
... Does not protect airway Does not allow for adequate ventilation, only oxygenation ...
Anesthetic Management of clival chordoma
... Incidence of difficult laryngoscopy (defined as tracheal intubation requiring >2 attempts at direct laryngoscopy) is 1.5-8.5% in general anesthesia with failed intubation 0.3%.1 Alternative airway devices like the rigid or flexible fibreoptic bronchoscope, intubating laryngeal mask airway (ILMA), vi ...
... Incidence of difficult laryngoscopy (defined as tracheal intubation requiring >2 attempts at direct laryngoscopy) is 1.5-8.5% in general anesthesia with failed intubation 0.3%.1 Alternative airway devices like the rigid or flexible fibreoptic bronchoscope, intubating laryngeal mask airway (ILMA), vi ...
Anesthesiology - University of Illinois College of Medicine at Peoria
... Aspiration precautions, indications, management. ...
... Aspiration precautions, indications, management. ...
Basic Airway Management Head tilt/chin lift Jaw thrust Mandibular
... Allows ventilation while bridging to more definitive airway ...
... Allows ventilation while bridging to more definitive airway ...
Digital Intubation
... Assess adequacy of ventilations by observing chest rise, listening to lung sounds, and assessing clinical improvement ...
... Assess adequacy of ventilations by observing chest rise, listening to lung sounds, and assessing clinical improvement ...
Pediatric Airway Management
... Tough angles for tube placement Remember anatomic differences Contraindicated until >10 years old ...
... Tough angles for tube placement Remember anatomic differences Contraindicated until >10 years old ...
story of difficult airway2 - Home
... – one change in length of blade – one change in type of blade – a reasonably experienced laryngoscopist ...
... – one change in length of blade – one change in type of blade – a reasonably experienced laryngoscopist ...
RESPIRATORY TREATMENT MODALITIES
... 1.Keep a patent airway - (relief of obstruction) 2. Protect airway from aspiration in patients with profound disturbance in consciousness with the inability to protect the airway. 3. Provide bronchial hygiene (suctioning). 4. Provide mechanical ventilation. severe pulmonary or multi-system injury as ...
... 1.Keep a patent airway - (relief of obstruction) 2. Protect airway from aspiration in patients with profound disturbance in consciousness with the inability to protect the airway. 3. Provide bronchial hygiene (suctioning). 4. Provide mechanical ventilation. severe pulmonary or multi-system injury as ...
special procedure bronchoscopy
... – Most manufacturers provide scopes in sizes 3.5 mm OD or less appropriate for children. No channel outlet may exist for suctioning because of its small size ...
... – Most manufacturers provide scopes in sizes 3.5 mm OD or less appropriate for children. No channel outlet may exist for suctioning because of its small size ...
Procedural sedation checklist
... The less cardiorespiratory reserve, the more difficult airway features, and the less procedural urgency, the more likely the patient should not receive PSA in the emergency department. If not a good candidate for ED-based PSA, other options include regional or local anesthetic; PSA or GA in the oper ...
... The less cardiorespiratory reserve, the more difficult airway features, and the less procedural urgency, the more likely the patient should not receive PSA in the emergency department. If not a good candidate for ED-based PSA, other options include regional or local anesthetic; PSA or GA in the oper ...
投影片 1
... devices for which they are adequately trained. 2.Tracheal intubation require either frequent experience or frequent retraining. ...
... devices for which they are adequately trained. 2.Tracheal intubation require either frequent experience or frequent retraining. ...
RESPIRATORY TREATMENTS - Welcome to the Health Science …
... in which an incision is made into the trachea to gain access to the airway below a blockage Tracheostomy – creating an opening into the trachea and inserting a tube to facilitate airway clearance and air diffusion Stoma – an opening on a body surface ...
... in which an incision is made into the trachea to gain access to the airway below a blockage Tracheostomy – creating an opening into the trachea and inserting a tube to facilitate airway clearance and air diffusion Stoma – an opening on a body surface ...
Step 1: Intubation
... Did any adverse intubation events occur? Yes No If yes, did any of the following events occur? Hypoxia Aspiration/Vomiting Esophageal Intubation Cardiac Arrest Hypotension Dental Trauma ...
... Did any adverse intubation events occur? Yes No If yes, did any of the following events occur? Hypoxia Aspiration/Vomiting Esophageal Intubation Cardiac Arrest Hypotension Dental Trauma ...
Intubation - Harbor-UCLA
... Knows when to initiate intubation attempt Manual dexterity with blade appropriate Addresses problems during the intubation appropriately Passes ET tube appropriately Recognizes need to abort attempt and re-oxygenate ...
... Knows when to initiate intubation attempt Manual dexterity with blade appropriate Addresses problems during the intubation appropriately Passes ET tube appropriately Recognizes need to abort attempt and re-oxygenate ...
Adams-Oliver Syndrome
... catheter was placed peripherally, and 100mg propofol was given to facilitate tracheal intubation with 30 mcg fentanyl to blunt the sympathetic response to laryngoscopy. No neuromuscular blocking agent was used until the airway was secured. Intubation with a 5.0 cuffed endotracheal tube using the #2 ...
... catheter was placed peripherally, and 100mg propofol was given to facilitate tracheal intubation with 30 mcg fentanyl to blunt the sympathetic response to laryngoscopy. No neuromuscular blocking agent was used until the airway was secured. Intubation with a 5.0 cuffed endotracheal tube using the #2 ...
Introduction to the PICU and Airway Management
... Non-rebreather mask (80-100%) – High flow (10-12 l/min) – Reservoir of oxygen – Tight-fitting to face – Valves to prevent entrainment of room air ...
... Non-rebreather mask (80-100%) – High flow (10-12 l/min) – Reservoir of oxygen – Tight-fitting to face – Valves to prevent entrainment of room air ...
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.