airway management - academic affairs convention center...
TRANSCRIPT
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Airway Management
Teeradej Kuptanon, MD
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OutlineAnatomy
Detect difficult airway
Rapid sequence intubation
Difficult ventilation
Difficult intubation
Surgical airway access
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ICU settingIntubation
Difficult Intubation
Exit procedure
Pulmonary hemorrhage
Neck mass
5/2/2016
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Resuscitation
A Airway
B Breathing
CCirculation
CCirculation
A Airway
B Breathing
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Anatomy
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Anatomy
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Assess
History
Physical Examination
Film airway
( Pediatricradiology.com)
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5/2/2016
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Mallampati Airway classification
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The difficult
3 times
10 minutes
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Airway managementPosition
Oropharyngeal Airway
Nasopharyngeal airway
Endotracheal tube
Tracheostomy tube
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Airway management
Head tilt, Chin lift
Triple maneuver Head tilt
Jaw thrust
Open mouthC-spine injury
Supplement oxygen
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Head tilt, Chin lift
5/2/2016
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Triple maneuver
5/2/2016
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C spine injury
5/2/2016
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Sniffing position
Oropharynx
Pharynx
Larynx
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Oropharyngeal Airway
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Nasopharyngeal airway
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Indication for intubation
RCA Retraction, Respiratory rate
Conscious change, Cyanosis
Air entry, Apnea
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Endotracheal Intubation
Put ETT (Uncuff, cuff, Tech)
Uncuff Age/4 + 4
Cuff Age/4 + 3.5
Check
Off ETT
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Endotracheal Intubation
Position
Blades
Stylet
Sellick’s maneuver
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Endotracheal tube exchanger
BougieStylet
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Sellick’s maneuver
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Rapid sequence intubation
The induction of a state of unconsciousness with complete neuromuscular paralysis to achieve intubation
Minimize risks of gastric aspiration
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Rapid Sequence intubation (RSI) = “7P”
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Prepare for IntubationPre intubation check “SOAPME”
Suction
Oxygen
Airway
Pharmacy/Personnel
Monitoring
Equipment
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Expedient intubation requires preparation
Direct laryngoscope (all sizes, types)
Magill forceps
Endotracheal tube (all sizes)
Ambu bag, Suction, stylet, O2 source)
Facemask, nasopharyngeal/oropharyngeal airway
Supraglottic airway device
Videolaryngoscope
Emergency surgical airway kits
Emergency resusciation medications
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Preoxygenation • After 2 minute;95% of nitrogen replaced by O2
increasing O2 reserve
• Avoid!! PPV in patient who is spontaneously breathing
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Pretreatment Medications Dose Indication Consideration
Lidocaine 1-2 mg/kg/dose Head injury,
TBI, elevated
ICP
Can protect
IICP during
intubation
Atropine 0.02
mg/kg/dose min
0.1 mg, max 1
mg
<1yr old, 1to5yr
who receive
succinylcholine,
and anyone with
risk of
bradycardia
Prevent reflex
bradycardia
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Induction medicationsMedications Dose Advantage Disadvantage
Fentanyl 1-4 mcg/kg Easily reversible
and short acting
Risk of chest wall rigidity
Midazolam 0.1-0.4 mg/kg Status epilepticus Hypotension
Etomidate 0.2-0.4 mg/kg TBI, hypotension Adrenal insuff.
May precipitate seizure
Ketamine 0.5-2 mg/kg Hypotension,
asthma
Increased ICP,
hypersecretion,
glaucoma
Propofol 1-2 mg/kg Rapid onset, status
epilepticus
Hypotension
Hypersensitivity to
soy/egg
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Paralysis medicationsMedication Dose (mg/kg) Advantage Disadvantage
Succinylcholine 1-2 (<10 kg)
1-1.5 (>10 kg)
Rapid onset,
short duration,
IM use
Bradycardia,
hypotension,
arrhythmias,
pulm edema,
rhabdomyolysis
Rocuronium 0.6-1 Quick onset,
stable
No significant
contraindication
Increased HR
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Nasotracheal intubation
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Tracheostomy tube
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5/2/2016
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Technique for difficult Ventilation
Oral/ Nasal Airway
Two-person mask ventilation
Laryngeal Mask Airway (LMA)
Esophageal-tracheal combitube
Surgical airway access
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2 person mask ventilation
5/2/2016
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Laryngeal Mask Airway
(LMA)
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Laryngeal mask airway size
Anesthesiology 2000;92:631
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Combitube
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Difficult intubationPosition ดี ?
ยก blade ถูกต้อง ?
External laryngeal manipulation ?
Jaw thrust ?
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Technique for Difficult Intubation
Fiberoptic intubation
Blind intubation
Alternative laryngoscope (Mc Coy)
Video-assisted laryngoscope
Illuminating stylet
Retrograde intubation
Surgical airway access
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Fiberoptic tracheal intubation
Indication History of difficult intubation
Compromise airway
Extension of the neck is not possible
Awake intubation with tropical anesthesia
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Video-assisted laryngoscope
Good laryngeal view; glottis is seen in the center of the upper third of video display
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Illuminated stylet
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Retrograde intubation
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Surgical Airway Access
Cricothyroidotomy
Tracheostomy
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CricothyroidotomyWhen attempts at intubation or ventilation have
failed, cricothyrroidotomy is considered the
procedure of choice.
5/2/2016
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Emergency cricothyrotomy
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Mini-tracheostomySeldinger technique (safer than blind)
Aspirate air with the needle and syringe to check placement, cut with scalpel
Remove syringe, insert wire into needle, remove needle
Thread dilator with airway already loaded onto wire
Remove wire
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5/2/2016
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Cricothyroidotomy
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Exit Procedure
5/2/2016
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5/2/2016
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5/2/2016
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TreatmentSpecific treatment cause of bleeding
Correct bleeding tendency and coagulopathy
Paralyze patient with muscle relaxant and sedative drug
Ventilator support to maintain oxygenation and ventilation
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Emergency management for massive hemoptysis
Unilateral intubation or Double lumen ETT
Rigid bronchoscope with epinephrine
Vasopressin drip
Selective bronchial arteriography with embolization
Lobectomy
Treatment
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Neck mass Lymphoma
5/2/2016
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5/2/2016
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Thank you for your attention