a review of basic airway management: a moulage€¦ · 7/9/2019 · airway management 1 managing...
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A Review of Basic Airway Management: a Moulage
Professor Richard Williams OBE TD
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Learning objectives
By the end of this session, attendees should have revised their knowledge of basic airway management techniques
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The ATLS principlePrevention of hypoxemia requires a protected, unobstructed airway and adequate ventilation, which take priority over management of all other conditions
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Airway AssessmentAssessing the adequacy of the airway • Patient is alert & oriented• Patient is talking normally• There is no evidence of injury to the head or neck• Assess & reassess to detect deterioration
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Airway Assessment
Signs and symptoms of airway compromise• Change in voice / sore throat• Noisy breathing (snoring and stridor)• Dyspnea and agitation• Tachypnea• Abnormal breathing pattern• Low oxygen saturation (late sign)
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Airway Management 1Managing the airways of injured patients• C Spine immobilisation• Assess the airway
• Look, listen and feel• Give additional oxygen• Basic airway opening techniques• Basic adjuncts
• Nasopharyngeal airway• Oropharyngeal airway
• Definitive airway• Is having a cuffed tube in the trachea
• Endotracheal intubation• Surgical airway
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Airway Management 2A definitive airway is a tube placed in the trachea with the cuff inflated below the vocal cords, the tube connected to some form of oxygen-enriched assisted ventilation, and the airway secured in place with tape
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Summary● Suspect airway compromise in all injured patients
and protect the cervical spine● Be prepared for easy and difficult airway● Consider adjuncts for establishing a patent airway● Definitive airway is a cuffed tube in the trachea● Quickly assess the patency and adequacy of
ventilation using a pulse oximeter and end-tidal CO2