Airway management Flashcards
how to insert an opa
invert
insert
rotate
locate
when would you not rotate an opa
in neonatal babies
just insert as can damage airways
describe an airway circuit
igel tube holder catheter mount #filter etco2 dector bag-value mask
what is a endotracheal intubation
placement of a hollow tube in the trachea through which ventilation of the lungs occurs, via one of the serval portals of entry
why do we intubate
basic techniques have failed-
inadequate oxygenation
inadequate ventilation
need to provide airway protection in a pt with a depressed reflux
what are you consideration to intuibate
assess the pt need for advance airway management
determine best method
mange in context of patients overall condition
be an expert in the techniques employed
recognise when things go wrong
death occurs from failure to ventilate not failure to intubate
what are not indication to intubate
because you can
because they are unresponsive
because i cant show up at hospital without one
advantages of endotracheal intubation
airway secure
aspiration of secreation
ippv
leads to more effective cpr
what is the equipment needed for intubation
blanket (for positioning of their head) bag valuve mask suction forceps syringe (20ml) statoscope filter cathermout tomus tube holder lubraction boggy tubing
what are the 3 planes of view we need of intubation
oral
pharyngeal
tracheal -
what are the landmarks needed for intubation
hard plate soft plate uvula tonsil epiglottis valeculla
how long should intubation take
no longer than 30 seconds
what is the acronym for assessment of intubation
m- manilible in relation to face o- opening/ overbite u- uvula t- teeth/ dentures h- head and neck s- silhouette
what is colorimetric capnography
colour changes from purple to yellow
detection of co2
what is end tidial co2 used in
cardiac arrest
pt with required assisted ventilation