basic airway maneuver Flashcards
soft tissue obstruction
prolapse of the tongue into posterior pharynx and loss of muscular tone in the soft palate
signs of an airway obstruction
- weak ineffective cough
- stridor
- cyanosis
- victim clutching throat
- nasal flaring
- intercostal retractions
most common reason for soft tissue obs.
LOC- low level of consciousness
signs of complete soft tissue obst.
paradoxical chest/abdomen movement
decrease 02 sat
central cyanosis
ABCD ASSESMENT
airway- is the airway patent- look for paradoxical movement, listening for resp.
BREATHING- check resp accesory muscles, chest 02 sats and RR.
CIRCULATION- HR,BP, signs of shock- pt color
DISABILITY- LOC before checking for airway patency
AVPU- awake, respond to Voice, respond to Pain, unresponsive
manual manipulations
chin lift
head tilt- chin lift
jaw thrust/ modified jaw thrust
chin lift
jaw moves anterior- forwards movement of tongue
don’t put fingers into pt’s mouth
head tilt- chin lift
lateral position of head causes forward movement of tongue, alleviates obstruction
jaw thrust
moves mandible anterior creating an underbite
does not displace joints
useful in suspected c-spine injuries
OPA’S
rest btw base of tongue and pharynx indicated in unconscious patients parts flange bite block air channel SIZING- corner of mouth to earlobe
NPA’s
nasal pharyngeal airway - nasally inserted (soft but firm)
can be used in conscious and unconscious patients(less gag reflex)
alleviate soft tissue obstruction
facilitates deep pharyngeal obstruction
SIZING- from alar to earlobe
adjustable flange- beveled end
insertion of NPAs
applied muco to beveled end before inserting. face beveled end to septum and directed back following the contour of opa
OPA HAZARDS
airway obstruction aspiration dental damage lip/tongue injury epistaxis
