Airway management Flashcards
signs of airway obstruction
snoring stridor gurgling hoarse voice paradoxical movement / seesaw chest
what is the easiest way to assess the airway
talk to the patient
if GCS<8 what does this suggest
airway is compromised
causes of airway obstruction
tongue
vomit / secretions
foreign body
angioedema
initial management of airway obstruction
head tilt, chin lift jaw thrust (protrude the jaw to give an underbite)
when would you do a jaw thrust instead of head tilt chin lift
suspected c-spine injury
what are adjuncts
OPA/guedel
NPA
how do you measure an OPA
from incisors to angle of mandible
how do you insert an OPA
backwards, then as you insert it, twist it into position
which is better tolerated, NPA or OPA
NPA
you can insert 2 of these
how should you approach a BOS# with NPA
it is very unlikely that the NPA would enter the break in skull
but if you were to insert an NPA, do so extremely carefully
what is an iGel
type of supraglottic airway (SGA/LMA)
how do you insert an iGel
hold it like a pencil and insert along the hard palate
how can you check the SGA is working (3 things)
misting of the mask
chest movements
square waves on capnography
can anyone insert an ETT
NO
only those with special training