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anlind04
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what is the primary objective of airway management
ensure adequate ventilation
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total time between ventilations should not exceed how many seconds ?
30
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how do you identify a difficult airway
- L.E.M.O.N.
- look
- evaluate 3-3-2
- mallampati score
- obstruction
- neck mobility
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L.E.M.O.N.
Look
- facial trauma
- large incisors
- beard or moustache
- large tongue
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L.E.M.O.N.
Evaluate 3-3-2
- incisor distance
- hyoid/mental distance
- thyroid-to-mouth
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L.E.M.O.N.
Mallampati score
- class 1-full visibility of tonsils, uvula and soft palate
- class 2-visibility of hard and soft palate, upper portion of tonsils and uvula
- class 3-soft and hard palate and base of the uvula are visible
- class 4-only hard palate visible
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which is a easier person to put a intubation on
class 1 or class 4 ?
class 1
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how to confirm placement of tube in order
- 1. ETC02
- 2. equal lungs and negative stomach
- 3. esophageal detector device
- 4.passing the cords
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3 types of rescue airways
- combi-tube
- king airway
- laryngeal mask airway
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when should we use rescue airways
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when should we perform a surgical cric
- 1. absolute need for a definitive airway
- unable to perform ETT due for structural or anatomic reasons
- risk of not securing airway is >than surgical airway risk
- unable to clear an upper airway obstruction
- multiple unsuccessful attempts at ETT
- other methods of ventilation do not allow for effective ventilation,respiration
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