AIRWAY ADJUNCT

DISAMPAIKAN OLEH; GOODMAN BIN MOSITI PENOLONG PEGAWAI PERUBATAN U29 (BIUS) DEWAN BEDAH, HOSPITAL PITAS KURSUS “ BASIC LIFE SUPPORT” (BLS)

PENGENALAN ,[object Object],[object Object]

Mekanisma Semasa Pesakit Tidak Sedar Diri ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ALGORITHM AIRWAY OPENING Unresponsive Patient Manual Maneuver Definitive Airway ABC (AIRWAY OPENING / CARE) Airway Adjunct ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],-Oral -Nasal -Jet Insufflation -Cricothyroidotomy -Tracheostomy

OROPHARYNGEAL AIRWAY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

OROPHARYNGEAL AIRWAY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

OROPHARYNGEAL AIRWAY ,[object Object],[object Object],[object Object],[object Object]

OROPHARYNGEAL AIRWAY ,[object Object],[object Object],[object Object],[object Object],[object Object]

NASOPHARYNGEAL AIRWAY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NASOPHARYNGEAL AIRWAY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NASOPHARYNGEAL AIRWAY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NASOPHARYNGEAL AIRWAY ,[object Object],[object Object],[object Object],[object Object],[object Object]

LARYNGEAL MASK AIRWAY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LARYNGEAL MASK AIRWAY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LARYNGEAL MASK AIRWAY Type of LMA Description ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LARYNGEAL MASK AIRWAY Proceal LMA LMA Classic LMA Fastrach LMA Unique ETT for LMA Fastrach Handle of Proceal

LARYNGEAL MASK AIRWAY Proceal LMA Fastrach LMA

LARYNGEAL MASK AIRWAY Advantages Disadvantages ,[object Object],Lower seal pressure ,[object Object],Higher frequency of gastric insufflation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Contraindications to LMA Use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LANGKAH-LANGKAH MEMASUKAN LMA 1. Press the mask up against the hard palate. Note the flexed wrist. 2. Slide the mask inward, extending the index finger 3. Press the finger towards the other hand, which exerts counter-pressure 4. Advance the LMA cuff into the hypopharynx until resistance is felt 5. Hold the outer end of the airway tube while removing the index finger Correct position of LMA

COMPLICATION USE LMA ,[object Object],[object Object],[object Object],[object Object],[object Object]

COMBETUBE ,[object Object],[object Object]

COMBITUBE ,[object Object],[object Object],[object Object],[object Object],[object Object]

ENDOTRACHEAL TUBE ,[object Object],[object Object],[object Object],[object Object],[object Object]

TRACHEAL INTUBATION ,[object Object],[object Object],[object Object]

INDICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PREPARATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Equipment Required for Successful Intubation (F.E / M.A.L.E.S)

[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

Technique of Endotracheal Intubation

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],AGE INTERNAL DIAMETER(mm) LENGTH(cm) Premature 2.5 10 neonate 3.0-3.5 10-11 6-12mth 11-12 3.5-4.0 2 years 4.5 13 4 years 5.0 14 6 years 5.5 15 8 years 6.0 16 10 years 6.5 17 12 years 7.0 18

[object Object],AGE ADULT INTERNAL DIAMETER (mm) LENGTH ( CM ) Female 7.0-7.5 18-20 Male 7.5-9.0 22-24

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],4 2 2

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Extreme Clinical Situations ,[object Object],[object Object]

CLASSIFICATION OF MALLAMPATI TEST

FAIL INTUBATION PROTOCOL Kong Thau Chin

AIRWAY ADJUNCT

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AIRWAY ADJUNCT