Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.
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Transcript of Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.
![Page 1: Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.](https://reader035.fdocuments.in/reader035/viewer/2022062515/56649d0d5503460f949e2ccc/html5/thumbnails/1.jpg)
Airway
Mary Osinga
Ontario Air Ambulance
Sir Sandford Fleming College
![Page 2: Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.](https://reader035.fdocuments.in/reader035/viewer/2022062515/56649d0d5503460f949e2ccc/html5/thumbnails/2.jpg)
Structure Review
![Page 3: Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.](https://reader035.fdocuments.in/reader035/viewer/2022062515/56649d0d5503460f949e2ccc/html5/thumbnails/3.jpg)
Why an Airway Review
• Obese Patients
• Trauma Patients-changes to airway
• ‘Cause it can get ugly out there! Bad taping job!
![Page 4: Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.](https://reader035.fdocuments.in/reader035/viewer/2022062515/56649d0d5503460f949e2ccc/html5/thumbnails/4.jpg)
Obese patients
![Page 5: Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.](https://reader035.fdocuments.in/reader035/viewer/2022062515/56649d0d5503460f949e2ccc/html5/thumbnails/5.jpg)
Cricoid Pressure
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What the heck are we lookin’ for?
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This is not so good!
![Page 8: Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.](https://reader035.fdocuments.in/reader035/viewer/2022062515/56649d0d5503460f949e2ccc/html5/thumbnails/8.jpg)
Get out of jail free cards?
• Laryngeal mask airway
• Combitube
• Lighted stylet
• Gum Elastic Bougie
• Digital intubation/Ice pick method
• Surgical Airway
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Get out of Jail free….
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LMA
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LMA Procedure
Procedure:
-Hyper oxygenate
-Check cuff
-Lubricate posterior cuff
-Head in neutral or slightly flexed position
-Insert following hard palate (use index finger to guide))
--Advance using index finger– Use curve to advance over base of tongue– pushed as far as possible into hypopharynx– Stop when resistance felt (upper esophag. sphincter)
--Let go and inflate cuff (visualize “pop”)
-Confirm and secure
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Get out of Jail free….
![Page 13: Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.](https://reader035.fdocuments.in/reader035/viewer/2022062515/56649d0d5503460f949e2ccc/html5/thumbnails/13.jpg)
Gum Elastic Bougie
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Get out of Jail Free
![Page 15: Airway Mary Osinga Ontario Air Ambulance Sir Sandford Fleming College.](https://reader035.fdocuments.in/reader035/viewer/2022062515/56649d0d5503460f949e2ccc/html5/thumbnails/15.jpg)
Lighted Stylet
• Indications– Impossible Laryngoscopy with adequate
Bag-Mask-Ventilation• TMJ ankylosis• limited C-spine mobility• facial trauma
• Contraindications– Upper airway masses or lesions (blind
technique)
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Get out of Jail- Final Parting Shot!- Surgical Airway
Indications
-Obstruction
-Facial Trauma
-Intubation or other alternatives impossible
-Trismus (clenching)
->8 years old (for open procedures)
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Surgical AirwaysNeedle Procedure:
-Identify Cricothyroid membrane
-Pierce at 45° angle
-Place catheter or stylet
-Advance dilator per manufacturer’s recommendation