PPT-Pediatric Airway Compromise: OSA and Obesity

Amanda Derby RN BSN SRNA York College of Pennsylvania WellSpan Health Nurse Anesthetist Program Objectives Review Pediatric vs Adult airway anatomy OSA and Obesity Common Procedures Seen. Airway Upper Airway Anatomy Lower Airway Anatomy Lung Capacities/Volumes Pediatric Airway Differences Anatomy of the Upper Airway Upper Airway Anatomy Functions warm, filter, and humidify air Nasal c patient. s. . from anesthesiologist vew. Prof. . Mirjana. Shosholcheva . University clinic of surgery “St. . Naum. . Ohridski. ” . Medical faculty-Skopje, Macedonia. Disclosures. No financial disclosures. A CPMC Regional CME Event. - An Integrated Approach. Saturday October 1, 2011. Sleep Apnea: . the silent airway contributor. Brandon Lu, M.D., M.S.. San Francisco Critical Care Medical Group. Obstructive Sleep Apnea. Commissioned by the American Academy of Sleep Medicine . Published August . 2016. Epidemiology. Source: Primary research with experts, U.S. Census (2014), Peppard . "Increased Prevalence of Sleep-disordered Breathing in Adults." . Poor bedfellow. Dessislava. . Ianakieva. , MD. Sleep Medicine Fellow. 5/17/17. Objectives. Understand the mechanism of sleep apnea. Know factors that increase the incidence of sleep apnea in adults . Upper airway. Nasal passage. Turbinates. Oral . cavity. Epiglottis. Vocal cord. Esophagus. Anatomy of the Glottis. Posterior tongue. Epiglottis. Vocal cords. True. False. Esophagus. Prehospital . care providers . OSA. – a common problem. Two types of breathing interruption characteristic of OSA:. APNOEA . – where the muscles and soft tissues in the throat relax and collapse sufficiently to cause a total blockage of the airway. Commissioned by the American Academy of Sleep Medicine . Published August . 2016. Epidemiology. Source: Primary research with experts, U.S. Census (2014), Peppard . "Increased Prevalence of Sleep-disordered Breathing in Adults." .  Prescriber Manual For the Treatment of Obstructive Sleep Apnea and Upper Airway Resistance Syndrome Index Preamble -------------------------------------------------------------- ----------------- no longer considered a cosmetic issue . that is caused by overeating and a lack of self-control. . The World Health Organization (. W.H.O.), . along with National and International medical and scientific societies, now recognize obesity as . H. . HOSSEINI MD. Airway anatomy differences. Airway anatomy differences. Airway Shape. Adapted from . Walls et al. . Manual of . Emergency . Airway Management. . 2. nd. Ed. 2004.. 2- Relatively Larger Tongue:. The pilot awoke and turned back to the destination airport, where all deplaned safely-- but behind schedule. The National Transportation Safety Board (NTSB) determined that contributing factors to t New Clinical Approaches for Difficult Airway Situations. 10:31:2016. Supported By: . Patient Safety, Respiratory Therapy, Critical Care, Professional Development Specialists, Rapid Response Team, Intensivists, Anesthesia, Trauma Surgeons, ENT. PwO. ?. Dror Dicker. 1. , Assim Alfadda. 2. , Ian Caterson. 3. , Walmir Coutinho. 4. , Ada Cuevas. 5. , Jason CG Halford. 6. , Carly Hughes. 7. , Masato Iwabu. 8. , Jae-Heon Kang. 9. , Rita Nawar. 10.