april 2004 richard lake 1 principles of airway management ffp module 7

April 2004April 2004 Richard LakeRichard Lake 11

Principles of Airway Principles of Airway ManagementManagement

FFP Module 7FFP Module 7


Indications for airway Indications for airway protectionprotection

Decreased level of consciousness Decreased level of consciousness GCS <9GCS <9 Cerebral injury Cerebral injury SurgerySurgery Medical problemsMedical problems


Potential causes of airway Potential causes of airway obstructionobstruction

TongueTongue DenturesDentures Food stuffsFood stuffs VomitVomit BloodBlood SecretionsSecretions


Techniques to clear material Techniques to clear material from airwayfrom airway

SuctionSuction Postural airway manoeuvresPostural airway manoeuvres Basic life support chocking protocolBasic life support chocking protocol

Up to 5 back slapsUp to 5 back slaps Up to 5 abdominal thrustsUp to 5 abdominal thrusts Only if unconscious up to 5 chest thrustsOnly if unconscious up to 5 chest thrusts If unsuccessful to clear airway then If unsuccessful to clear airway then

Basic Life SupportBasic Life Support


Opening the AirwayOpening the Airway

Check the airwayCheck the airway Open the airway, place one hand on Open the airway, place one hand on

the victims forehead and gently tilt the victims forehead and gently tilt head backhead back

Remove any visible obstruction from Remove any visible obstruction from the victims mouth, including dislodged the victims mouth, including dislodged dentures. Leave well fitting dentures in dentures. Leave well fitting dentures in placeplace

DO NOT ATTEMPT ANY FINGER SWEEPSDO NOT ATTEMPT ANY FINGER SWEEPS


Opening the airwayOpening the airway


Jaw thrust technique may be Jaw thrust technique may be needed if C-spine injuryneeded if C-spine injury


Simple airway adjunctsSimple airway adjuncts


Nasopharyngeal airway Nasopharyngeal airway insertioninsertion


Oropharyngeal airway Oropharyngeal airway insertioninsertion


Laryngeal Mask AirwaysLaryngeal Mask Airways


The Laryngeal Mask AirwayThe Laryngeal Mask Airway

Latex-free, silicone Latex-free, silicone rubber tube connected rubber tube connected to an elliptical mask with to an elliptical mask with an inflatable outer riman inflatable outer rim Standard 15 mm male Standard 15 mm male

adaptoradaptor Pilot tube and balloon Pilot tube and balloon

attached to the inflatable attached to the inflatable outer rimouter rim

Bars cover the connection Bars cover the connection between the tube and the between the tube and the maskmask

Re-useable up to 40 times Re-useable up to 40 times (Autoclave)(Autoclave)


Insertion TechniqueInsertion Technique

Open the mouth and Open the mouth and press the tip of the cuff press the tip of the cuff upward against the upward against the palate and flatten the palate and flatten the cuff against itcuff against it

Use index finger to guide Use index finger to guide LMA, pressing backwards LMA, pressing backwards along the palate towards along the palate towards ears until resistance is ears until resistance is feltfelt

The tip now rests in the The tip now rests in the hypopharynxhypopharynx


Insertion TechniqueInsertion Technique

Use other hand to press Use other hand to press down on LMA tube while down on LMA tube while removing index fingerremoving index finger

Inflate with 2-4 ml air to Inflate with 2-4 ml air to seal (60 cm H20 seal (60 cm H20 maximum)maximum)

Don’t hold the tube Don’t hold the tube while inflating the while inflating the balloon, it moves balloon, it moves outward a little as it outward a little as it seats properlyseats properly


LMA in PlaceLMA in Place


IntubationIntubation


Nasotracheal intubationNasotracheal intubation


QuestionsQuestions

april 2004 richard lake 1 principles of airway management ffp module 7

Documents

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