AIRWAY MANAGENEMT (SIR JJ).pdf

HERMANO|AIRWAYMANAGEMENT|SIR JJ 1 OROPHARYNGEAL AIRWAY -maintains a patent airway by lying between the base of the tongue and the posterior wall of the pharynx. (unconscious patients) NASOPHARYNGEAL AIRWAY - “NASAL TRUMPET”, Nasal stents or Nasal Horn. -used...

HERMANO|AIRWAYMANAGEMENT|SIR JJ 1 OROPHARYNGEAL AIRWAY -maintains a patent airway by lying between the base of the tongue and the posterior wall of the pharynx. (unconscious patients) NASOPHARYNGEAL AIRWAY - “NASAL TRUMPET”, Nasal stents or Nasal Horn. -used to facilitate ventilation and removal of secretions. (gag reflex, lockjaw oral trauma, unstable fractures of mandible). 2 types of airway: 1. Berman Oropharyngeal Airway - has external side channels -ranges size 43mm (infants) -110 (extra large adults) 2. Guedel Oropharyngeal Airway -most common -has one large internal channel Selection of Oropharyngeal Airway: (3) 1. First Method: Center of the mouth to the angle of the jaw. 2. Second Method: From the corner of the mouth to the earlobe. 3. Third Method: From the central incisors to the angle of the jaw. Selection of Nasopharyngeal Airway: (3)  Male- 7  Female-6  The width of the patient’s nares or size of the little finger. Local anesthetic spray- applied for patient comfort and lubricant. Parallel- placement of airway to the nasal floor Flanged end- rest againts the nose Distal tip- rest behind uvula. Hazards and Complications: (3) 1. Outward movement is more common 2. Soft tissue damage of the nasal mucous 2. Nasal Irritation. To prevent nasal irriation, alternating nostrils daily HERMANO|AIRWAYMANAGEMENT|SIR JJ 2 Endotracheal Tube -are semi-rigid tibes most often composed of polyvinyl chloride -is a radiopoaque Parts of Endotracheal Tube (4): 1. Tube (Body) 2. 15mm Adapter 3. Murphy Eye (Tip) 4. Pilot Balloon Relief Upper Airway Obstruction- results from larygnospasm, epiglottis or glottic edema. Airway 4 Protective Reflexes: 1. Pharyngeal Reflex- gag and swallowing 2. Laryngeal Reflex- laryngospasm 3. Tracheal Reflex- coughing when tracheal is irritated 4. Carinal Reflex- coughing when carina is irritated Larger ET tube- offers lower airflow resistance, and lower (peak, plateau, mean) airway pressures. Laryngeal Mask Airway (LMA)- a short endotracheal tube with small cushioned, oblong-shaped mask on the distal end. - 40 times reused sterilization Positioning opf the Head: Head tilt and chin lift- “sniff position” 1. Hyperextend the next of the patient 2. Kepp the head in line with the body 3. Cannot perform if the patient has a neck injury Jaw Thrust Maneuver- if the patient has a neck injury