Morrissey Airway Positioning

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Morrissey Airway Positioning

  1. 1. Basic Airway Tom Morrissey, MD Assistant Professor University of Florida HSC Jacksonville, Florida
  2. 2. Positioning
  3. 3. Sniffing Position
  4. 4. Sniffing Position
  5. 5. AIRWAY POSITIONING and the BURP Backwards Upwards Rightward Pressure
  6. 6. Laryngoscopy and Intubation  Technique: – Placement of the laryngoscope – Initially non-visual then active visual stage – No death-grip needed – Keep right hand free
  7. 7. Technique Nobody will steal your scope!!
  8. 8. Laryngoscopy and Intubation  Steps of intubation – Positioning – Placement of Laryngoscope
  9. 9. Laryngoscope Placement
  10. 10. Laryngoscopy and Intubation  Steps of intubation – Positioning – Placement of Laryngoscope – Capture of the tongue
  11. 11. Starting Position of Visual Phase
  12. 12. Laryngoscopy and Intubation  Steps of intubation – Positioning – Placement of Laryngoscope – Capture of the tongue – Visualization of anatomic structures as Miller blade is withdrawn
  13. 13. Visualization of Airway and Exposure of Cords
  14. 14. Laryngoscopy and Intubation  Steps of intubation – Positioning – Placement of Laryngoscope – Capture of the tongue – Visualization of anatomic structures as Miller blade is withdrawn – Placement of tube
  15. 15. Tube Placement
  16. 16. Final Placement
  17. 17. Laryngoscopy and Intubation  Steps of intubation – Positioning – Placement of Laryngoscope – Capture of the tongue – Visualization of anatomic structures as Miller blade is withdrawn – Placement of tube – CO2 conformation
  18. 18. Difficult Airway Predictors  The Lemon Law – Look externally – Evaluate the 3-3-2 rule – Mallampati – Obstruction? – Neck mobility
  19. 19. Mallampati Classification
  20. 20. AIRWAY IN THE OBESE
  21. 21. Management  HELP!!!!!!!!!  WHAT DO YOU DO????
  22. 22. AIRWAY IN THE OBESE

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