Artificial respiration
-
Upload
rajendra-deshpande -
Category
Education
-
view
527 -
download
1
Transcript of Artificial respiration
Artificial Respiration • Presented By – • Prof.Dr.R.R.Deshpande
(M.D in Ayurvdic Medicine & M.D. in Ayurvedic Physiology)
• www.ayurvedicfriend.com• Mobile – 922 68 10 630• professordeshpande@gmail
.com
05/03/23 Prof.Dr.R.R.Deshpande 1
Artificial Respiration – Indications
• No Respiration • But Heart continues to beat
• Drowning• Suffocation in smoke • Paralysis of Respiratory muscles • Electric shock
05/03/23 2Prof.Dr.R.R.Deshpande
Artificial Respiration – Prof. Dr. R. R. Deshpande
05/03/23 3Prof.Dr.R.R.Deshpande
Select the proper method
• If Drowning – Select methods which are done in prone position
• Schafer’s method ( Prone pressure method)
• Holger Neilson’s method ( Arm lift back pressure method)
05/03/23 4Prof.Dr.R.R.Deshpande
Types of Artificial respiration
• 1) Prone – Schafer’s method ( Prone pressure Method)
• 2) Holger Neilson’s method ( Arm lift back pressure method)
• 3) Sylvester’s method ( Arm lift chest pressure method )
• 4) Mouth to mouth respiration
05/03/23 5Prof.Dr.R.R.Deshpande
Artificial Respiration – Precautionary measures
• 1) Tight clothes should be loosened• 2) Patient is kept warm
• 3) Froth from mouth & nose is cleaned
• 4) Denture is removed• 5) Patient is taken to fresh atmosphere
05/03/23 6Prof.Dr.R.R.Deshpande
Schafer’s method ( Prone pressure method )
• 1) Doctor kneels near patient’s waist • 2) Put palm on patient’s loin
• 3) By bending forward doctor will apply pressure
• 4) Pushing abdominal viscera up to bring about expiration
05/03/23 7Prof.Dr.R.R.Deshpande
Schafer’s method ( Prone pressure method )
• 5) When doctor is pressing on loin ,expiration takes place ,when doctor is bending backward Inspiration takes place
• 6) Inspiration lasts for 3 sec ,expiration lasts for 2 sec
• 7) This is roughly judged by saying words 1,2 & 1,2,3
05/03/23 8Prof.Dr.R.R.Deshpande
Active Expiration in Schafer’s method
05/03/23 9Prof.Dr.R.R.Deshpande
Passive Inspiration – in Schafer’s method
05/03/23 10Prof.Dr.R.R.Deshpande
Schafer’s method ( Prone pressure method )
• 8) Main advantage of Schafer’s method is it’s prone position. So water from abdomen & lungs can be easily drained & lungs can be easily drained
• 9) It is very simple method ,non tiring .It can be continued for long time
05/03/23 11Prof.Dr.R.R.Deshpande
Schafer’s method ( Prone pressure method )
• 10) If there are injuries to thorax or back ,this method can be used .
• 11) Only disadvantage of this method is that , Inspiration is passive & expiration is active ,which is un physiological
• 12) If there are injuries of abdomen ,this method can not be applied
05/03/23 12Prof.Dr.R.R.Deshpande
Holger Neilson’s method ( Arm lift back pressure method )
• 1) This is also in prone position • 2) Doctor kneels near patient’s head ,facing
towards him • 3) Doctor will pull his arms up .This will bring
about Inspiration • 4) Then doctor will leave his hands on side &
put his palms on patient’s scapulae & bending forward he will apply deep pressure on his chest .This will cause expiration
05/03/23 13Prof.Dr.R.R.Deshpande
Holger Neilson’s method ( Arm lift back pressure method )
• 5) Inspiration for 3 sec & Expiration for 2 sec .Say 1,2,3 & 1,2
• 6) Main advantage of this method is adequate drainage of water from abdomen & thorax .So this is a good method in cases of drowning
• 7) If there are injuries to abdomen ,this method can be used
05/03/23 14Prof.Dr.R.R.Deshpande
Active Inspiration in Holger Nelson Method
05/03/23 15Prof.Dr.R.R.Deshpande
Active Expiration in Holger Nelson Method
05/03/23 16Prof.Dr.R.R.Deshpande
Holger Neilson’s method ( Arm lift back pressure method )
• 8) Both inspiration & Expiration are active , so good ventilation is obtained
• 9) Only disadvantage of this method is that this is tiring method .So it needs assistance
• 10) Similarly if there are injuries of scapulae ,this method can not be used
05/03/23 17Prof.Dr.R.R.Deshpande
Sylvester’s method ( Arm lift chest pressure method)
• 1) It is in Supine position• 2) Pillow is given below shoulder & neck is
fully extended• 3) Doctor will kneel near patient’s head ,facing
towards him • 4) He will catch patient’s wrist & by bending
forward he will pull patient’s arms up .This will cause Inspiration
05/03/23 18Prof.Dr.R.R.Deshpande
Sylvester’s method ( Arm lift chest pressure method) • 5) Then bending forward ,he will put deep
pressure on chest ,with patient’s hands .This will cause expiration
• 6) Inspiration should lasts for 3 sec & expiration for 2 sec
• 7) Main advantage of this method is both inspiration & expiration are active ,so good ventilation is obtained
05/03/23 19Prof.Dr.R.R.Deshpande
Sylvester method – Active Inspiration
05/03/23 20Prof.Dr.R.R.Deshpande
Sylvester method – Active Expiration
05/03/23 21Prof.Dr.R.R.Deshpande
Sylvester’s method ( Arm lift chest pressure method) • 8) Disadvantages are ,as patient is in supine
position ,there is no drainage of water from lungs .So this method should not be used in cases of drowning
• 9) This is tiring method ,so assistance is needed
• 10) If there is rib fracture or thorax # ,this method can not be used
05/03/23 22Prof.Dr.R.R.Deshpande
Mouth to mouth Respiration
• 1) It is the best method of artificial respiration • 2) Doctor kneels near patient’s neck ,facing
towards him .• 3) Pillow is given below shoulder ,so as to
extend neck fully • 4) With left hand patient’s nostrils are
closed .Tissue paper or handkerchief is put on patient’s mouth .
05/03/23 23Prof.Dr.R.R.Deshpande
Mouth to moth Respiration
• 5) Doctor will blow expired air in patient’s mouth .This will cause inspiration
• 6) By taking mouth away ,expiration occurs passively
• 7) Advantages of this method are giving expired air ,which contain CO 2 ,which stimulate patient’s respiratory center .Good ventilation is obtained
05/03/23 24Prof.Dr.R.R.Deshpande
Mouth to Mouth Respiration
05/03/23 25Prof.Dr.R.R.Deshpande
Mouth to moth Respiration
• 8) Inspiration is active ,expiration is passive ,which is physiological
• 10) It is the best method of Artificial respiration in new born babies
• 11) Only disadvantage of this method – As this is in supine position ,water from abdomen ,if it is not drained may regurgitate back into the lungs & then may lead to respiratory infection
05/03/23 26Prof.Dr.R.R.Deshpande
Artificial Respiration
• 1) Artificial respiration is started at the site of accident & continued till patient is shifted to hospital
• 2) If patient starts breathing of his own ,act of respiration is synchronized with patient’s act of respiration
05/03/23 27Prof.Dr.R.R.Deshpande
External cardiac massage
• 1) It is done ,in the patient’s of cardiac arrest • 2) Cardiac arrest – No pulsations at femoral
artery • 3) It is given by putting left palm on
xiphisternum & impacts are given by right palm
• 4) With this cardiac massage ,mouth to mouth respiration can be coninued with 4 to 1 ratio
05/03/23 28Prof.Dr.R.R.Deshpande
External Cardiac Massage
05/03/23 29Prof.Dr.R.R.Deshpande
Signs of Death
• 1) Fixed dilated pupils ,which are not reacting to light
• 2) No heart sounds heard
• 3) No Pulse
• 4) No recordable BP 05/03/23 30Prof.Dr.R.R.Deshpande
Please see also Videos
• Copy ,Paste Link as URL• Artificial Respiration – Part 1 -- By
Prof.Dr.R.R.deshpande – • https://youtu.be/1lxUZtEJaz8• Artificial Respiration – Part 2 -- By
Prof.Dr.R.R.deshpande • https://youtu.be/cCEtTjlR-GM
05/03/23 Prof.Dr.R.R.Deshpande 31
Prof.Dr.R.R.Deshpande
• Sharing of Knowledge
• FOR
• Propagating Ayurved
05/03/23 32Prof.Dr.R.R.Deshpande