PPT-Responding to the Patient with a Difficult Airway

Situation 1 Airway Alert   Situation 2 Code Airway Patient Awake Resp Rate adequate HR Stable BP Stable O2Sats Stable NeckChest procedure Facialneck swelling Altered Mental State. 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 Airway management is really easy….. Except when it isn’t. DEFFINATION. Difficult Intubation is:. Failure to intubate with conventional laryngoscopy after an optimal/best attempt with:. Reasonable experienced . Erin Rosenberg, MD. Assistant Professor of Anesthesiology. Emory University. Children’s Healthcare of Atlanta. No financial . disclosures. Sedation outside of the Operating Room. Increased availability of short-acting sedatives. Airway Management:. Airway management is the most important skill for the Pre-hospital/Hospital Clinician.. ABC’S. Timely, effective, and decisive management of the airway can literally make the difference between life and death or between ability and disability.. Team Based System Safety. Clinical Introduction For Physicians, Respiratory Therapists, Nurses. Your Hospital’s LOGO HERE. EMA Safety Leadership Group. 5,000 US Hospitals. All have Airway Vulnerabilities. Predicting the Difficult Airway. Jeffrey M. Elder, M.D.. Deputy Medical Director. When To Intubate?. Failure to maintain/protect the airway. Required for successful oxygenation and ventilation. Reflexes avoid aspiration. During a meal, have you ever noticed someone. Coughing?. Choking?. Gurgling?. Clearing their throat?. Chewing slower than normal?. Reporting chest pain?. Regurgitating their food?. These are all signs and symptoms of dysphagia!. Chapter 7: Airway Management National EMS Education Standard Competencies (1 of 7) Airway Management, Respiration, and Artificial Ventilation Applies knowledge (fundamental depth, foundational breadth) of general anatomy and physiology to assure a patent airway, adequate mechanical ventilation, and respiration while awaiting additional emergency medical services (EMS) response for patients of all ages. BEFORE INDUCTION. Pre-Induction Assessment. Prepare Airway Equipment. Check Ventilator. Working Laryngoscope (VL . if available. ). ET Tubes, Syringe, Stylet, Tie/Tape. Adjuncts e.g. Bougie, LMA, Oral airway. Hospital. Airway Assessment . 1. If . Endotracheal Intubation . fails, you must have a . back-up plan. .... 8/3/2016. Combi-Tube. LMA. BVM. King-LTD. 2. Airway Assessment. History. Examination. History. . S.Parthasarathy. . MD., DA., MD (. Acu. ) DNB., PhD., FICA.,IDRA.,. Diploma in Software based statistics. Is it true ?? . It is wise to plan for the unexpected difficult airway: only 50% of difficult airways are . Success & Failure. Chris Frerk & Tim Cook. Emergency Surgical Airway. 80 people presenting for surgery, being cared for in ITU or coming to the ED ended up with an unplanned hole in the neck in an attempt to rescue a lost airway. Objectives. Understand the LEMON Law and why it is an important predictor of airways. Practice bagging and intubation. Practice utilizing airway adjuncts. Recognize a difficult airway. Approach to the Airway. Mohamed Mahmoud, MD. Professor, Clinical Anesthesia & Pediatrics. Department of Anesthesia/ Division of Neuromonitoring. Cincinnati Children’s Hospital Medical Center. University of Cincinnati.