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AIRWAY
MANAGEMENT.
DECISION MAKING,
STRATEGIES AND
CLINICAL OPTIONS
MARIO RUGNA
118 FIRENZE SOCCORSO
ED ELISOCCORSO
•Indication
•Clinical targets
•Opportunity
•Distance from the ED
•Feasibility
•Myself
•My Team
Clinical Targets
•Everytime different
•Clinical decision
making
•Theorical and practical
background
Technical skills
•Repe...
•We need to be less concerned about technical skills
•Strategies has to be clinically and not technically oriented
•Having...
Airway management
The whole picture!
•Oxygenation
•Ventilation
•Protection
•Oro-tracheal intubation
•Extra-glottic devices
•Bag valve mask ventilation
•Surgical airway
Technique
Clinical targets
Technique
When a plan
fails Remember
No Desat!!!
Oxygenation
Ventilation
Protection
Intubation
Plan A
Oxygenation
Ventilation
E.G.A.
Plan B
Oxygenation
B.V.M.
Plan C
Oxygenation
Ventilation
Protection
Cric
Plan
Mario Rugna
Medest
Medest Articles & News
Thanks
medest118@gmail.com
mrugna@yahoo.it
medest118.com
@medest118
Mario Rugna
Airway decision making
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Airway decision making

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About decision skill in airway management

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Airway decision making

  1. 1. AIRWAY MANAGEMENT. DECISION MAKING, STRATEGIES AND CLINICAL OPTIONS MARIO RUGNA 118 FIRENZE SOCCORSO ED ELISOCCORSO
  2. 2. •Indication •Clinical targets •Opportunity •Distance from the ED •Feasibility •Myself •My Team
  3. 3. Clinical Targets •Everytime different •Clinical decision making •Theorical and practical background Technical skills •Repetivity •No clinical decision making •Just theorical background
  4. 4. •We need to be less concerned about technical skills •Strategies has to be clinically and not technically oriented •Having many technical options is a damn good thing Airway management is part of the whole clinical picture
  5. 5. Airway management
  6. 6. The whole picture!
  7. 7. •Oxygenation •Ventilation •Protection
  8. 8. •Oro-tracheal intubation •Extra-glottic devices •Bag valve mask ventilation •Surgical airway
  9. 9. Technique Clinical targets
  10. 10. Technique When a plan fails Remember No Desat!!!
  11. 11. Oxygenation Ventilation Protection Intubation Plan A
  12. 12. Oxygenation Ventilation E.G.A. Plan B
  13. 13. Oxygenation B.V.M. Plan C
  14. 14. Oxygenation Ventilation Protection Cric Plan
  15. 15. Mario Rugna Medest Medest Articles & News Thanks medest118@gmail.com mrugna@yahoo.it medest118.com @medest118 Mario Rugna

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