Mod D Tech 16 16 Airway Management Flashcards Preview

Technician Course MOD D 2016 > Mod D Tech 16 16 Airway Management > Flashcards

Flashcards in Mod D Tech 16 16 Airway Management Deck (34):
1

Airway management must be

Airway management must be rapid and effective.

Stepwise airway management employs a series of increasingly complicated manoeuvres to open and maintain the airway, used in stepwise order; the simplest, quickest and least invasive first.

2

Name Manual methods of Airway Control

•Recovery position

••Head tilt / Chin lift

••Trauma chin lift

••Trauma jaw thrust

••Suction / manual clearance

3

recovery Postion

A image thumb
4

Head Tilt/Chin Lift

A image thumb
5

Jaw thrust

A image thumb
6

Airway Adjuncts inc.
What does SAD stand for

name devicies

 Supraglottic Airway Devices (SAD)

•Oropharyngeal Airway

•Nasopharyngeal Airway

••Laryngeal Mask Airway

•I-Gel

7

Indications for the
use of an OPA

•To maintain a patent (open) airway by preventing the tongue from covering the epiglottis which could prevent the patient from breathing

•As a person becomes unconscious, the muscles in their jaw relax and allow the tongue to obstruct the airway

8

Sizing an OPA

Inserting an OPA

•Open patient’s airway using cross finger technique

•Insert ‘upside down’ (curved end along the roof of the mouth) and using the hard palate as a guide, advance until tip approaches back of the mouth

•Rotate 180 degrees and continue to insert until the flange comes to rest at the teeth

A image thumb
9

Paediatrics OPA

•In children – insert the ‘right way up’ – why do you think this is?

Anatomical differences:

Larger tongue

Narrower airways – more easily obstructed

Longer floppy epiglottis

Larger occiput

10

Complications/Hazards for OPA

Q image thumb

•Vomiting

••Can worsen airway obstruction – if placed incorrectly can depress tongue into the back of the pharynx, further blocking the airway

•Can cause trauma to the mouth – injury to hard or soft palate (tearing, bleeding etc)

•Can cause pharyngeal stimulation with coughing or vomiting

••Laryngospasm

11

Contraindications

•In patients with a cough or gag reflex

••Clenched teeth / trismus

••Oral trauma

••Conscious or semi-conscious patient

12

Important points

•Clear mouth and pharynx before insertion

•Withdraw if patient rejects insertion

•Check that air is passing through it once inserted

•Maintain careful observation to ensure the lumen stays clear

13

Nasopharyngeal
Airways (NP airway)


Nasopharyngeal Airways

NP airways are to be used when an OPA will not be tolerated such as in the following circumstances:

•Fitting or seizures

•Suspected cervical spine injury

•Awake or semi-conscious state

•Active gag reflex

•Trismus

14

Contra-indications N.P. airways must not be used in

N.P. airways must not be used in:

•Patients with nasal injury

••Cases of recurrent nose bleeds or nasal polyps

••Children < 12 years

15

Caution

N.P. airways

A image thumb
16

Base of skull # indicators

A image thumb
17

Possible Complications NPs

•Nasal bleeding

••Laryngospasm and vomiting

••Ineffective airway

18

Measuring an NPA

A image thumb
19

Nasopharyngeal airway insertion

•Oxygenate the patient

••Select and lubricate the airway

••Position patient in “sniffing the morning air” position

•Lubricate, gently insert into patients largest nostril (Usually right) perpendicularly

•Slide with slight twisting motion into nostril until flange sits against opening

20

Reassess

•Airway adequate

••Breathing adequate

••Suction as appropriate

••Oxygen via non re-breathing mask

••Monitor the patient constantly

21

IGEL Indications for use ?

Contraindications ?

•Stepwise airway approach

••Securing and maintaining a patent airway in emergency situations

••Personnel should be suitably trained  and experienced in the use of airway management techniques

••Paediatric use in extreme circumstances when all other methods have failed

Contraindications

•Trismus

••Active gag reflex

•Limited mouth opening

•Trauma or mass

22

Removal IGEL

Do not attempt to forcibly remove the device if the patient is biting on it.

Wait until the patient, on vocal command, has fully opened their mouth or opens it spontaneously

23

Q image thumb

24

Q image thumb

25

Suction Equipment

•There are many different types of suction equipment in use within the Ambulance Service

•The operating principle for all is the same.

•The equipment creates a vacuum within the apparatus and a catheter then aspirates substances into a container

26

 Suction Types of Catheter

A image thumb
27

When to use Suction

•Regurgitation in the unconscious patient

••Excessive sputum

•Blood from:

-Maxillo facial injury

-Head injury

-Epistaxis

abdominal haemorrhage

•Saliva in patients who have difficulty in swallowing due to:

-Cerebral haemorrhage

-Oesophageal obstruction

-Injuries to the pharynx

-•Clearance of oropharyngeal airway

28

Failing to use Suction could lead to

•Airway obstruction

••Stomach contents entering the lungs

••Pneumonia

••Lung collapse

29

Use of Suction Equipment and Catheters

•Store flexible catheters so they do not kink

••Use only sterile catheters – Do not remove from packet until needed

•Insert catheter first, then switch on the suction unit

••Do not touch the end of the catheter that will be inserted into the patient’s mouth

30

Use of Suction Equipment
and Catheters

•Gently rotate the catheter backwards and forwards to prevent it adhering to soft tissue

•After use, suck clean water through the catheter

••Suction should only be applied for a few seconds at a time

General points:

•Reduce the pressure for children

••Do not allow the reservoir to overfill

••When using suction on a poisoned casualty, retain a sample for analysis

31

Q image thumb

A image thumb
32

Q image thumb

A image thumb
33

Q image thumb

A image thumb
34

Q image thumb