Airway Management Flashcards
5 Manual methods of airway control
Head tilt/ chin lift Trauma chin lift Trauma jaw thrust Suction/ manual clearance Recovery position
3 Airway Adjuncts
Oropharyngeal airway
Nasopharyngeal airway
I-Gel
Indications for the use of an OPA
To maintain the patients airway preventing the tongue covering the epiglottis
Sizing and inserting an OPA
Corner of the mouth to angle of the jaw
Open patients mouth cross finger technique
Insert up side down roof of mouth as guide
Twisting 180
Paediatric OPA
How to insert and why
Insert right way up Paediatric Anatomical differences Larger tongue Narrower airway Longer floppy epiglottis Larger occipital
Airway positioning for paediatric
Put blanket under shoulders
Large occipital
Possible complications of using an airway
Vomiting
Can worsen if incorrectly fitted
Can cause pharyngeal stimulation,coughing vomiting
Laryngospasm
Contraindications for using airway
Patient cough gag reflex
Trismus
Oral trauma
Conscious or semi conscious
Nasopharyngeal airway
Can be used when a OPA will not be tolerated 5
Fitting or seizures C/spine Awake /semi conscious Active gag Trismus
NPAs contra indications
Must not be used Nasal injury Nose bleeds Children >12 Base of skull fracture
NPA insertion
Lubricate NPA
Twisting motion
Insert vertically along floor of nose
Reassess airway remember to check
Airway adequate Breathing adequate Suction as appropriate Oxygen via mask Monitor the patient constantly
I-Gel indications for use
Stepwise airway approach
Maintaining airway in emergency
Personnel should be trained and experienced in airway management
Paediatric use when all other methods have failed
Contraindications i-gel
Trismus
Gag reflex
Limited mouth opening
Trauma or mass
Types of suction catheter
Soft flexible
Firm angled