Advancement in Supra-glottic Airways.ppt

•Download as PPT, PDF•

1 like•4 views

This document discusses the history and advances in supraglottic airway devices. It describes how supraglottic airways are placed above the vocal cords, allow hands-free maintenance of an open airway, and can be used for spontaneous or assisted ventilation. The document then reviews the timeline of important supraglottic airway devices developed since 1908. It discusses newer generations of laryngeal mask airways and other single-use devices like the I-gel. Finally, the document summarizes that supraglottic airways provide hands-free airway maintenance, can be used for both spontaneous and controlled ventilation, provide little protection against aspiration, and are useful for routine anesthesia, emergency airway

Advances in
Supraglottic Airway
Dr. K. Sudarshan
Consultant Anaesthetist
Coimbatore

doctorsudarshan@gmail.com
Which ones qualify ?
Should satisfy the following
conditions

doctorsudarshan@gmail.com
1. Placed above the vocal cord level
2. Those devices which allow hands-free
maintenance of an open airway
3. Allows spontaneous or assisted
ventilation

doctorsudarshan@gmail.com
 1908- Hewitt Airway
 1913- Connell
 1915- Lumbard
 1916 – Mona Roberts
 1923 - Phillips
 1924 – Poe
 1930 – Waters insufflation
 1933 – Guedel
 1957- Fink vallecular
 1957 – Safar Airway
 1977 – Berman intubating
 1982 – Patil Syracuse
 1983 – Laryngeal Mask – Archie brain
 1985 – Combitube
1908 to date

doctorsudarshan@gmail.com
Sir Frederic William Hewitt
1856 - 1916
The original
Hewitt airway as it
appeared in the
February 15, 1908
issue of The Lancet.
A modified version of
the original Hewitt
airway

doctorsudarshan@gmail.com
Dr.Arthur Guedel
1883-1956

doctorsudarshan@gmail.com
Dr.Peter Safar

doctorsudarshan@gmail.com
Dr. Archie Brain

doctorsudarshan@gmail.com
NASOPHARYNGEAL
AIRWAY
COPA COMBITUBE

doctorsudarshan@gmail.com
Advancements
 New generation LMA’s
 I gel
 Laryngeal Tube/ King LTS/ LTD
 Cobra plus tube

doctorsudarshan@gmail.com
Generally demonstrate
 Ability to be placed without direct visualization
 Better cardio vascular stability both during
insertion and removal
 Minimal IOP and ICP changes
 Provide little protection against aspiration
 Contraindicated in full stomach patients

doctorsudarshan@gmail.com
Proseal & LMA Supreme
 Has two separate tubes
 Three dimensional
inflation of cuff
 Holds a better cuff seal
pressure

doctorsudarshan@gmail.com
Flexible & Ambu LMA
 Flexometallic tube
 Preformed angle
 Better placement
 Less incidence of
dislodgement once placed
 More useful in head and
neck surgery

doctorsudarshan@gmail.com
ILMA & LMA C Trach
 Allows intubation with
minimal head and neck
manipulation
 Recommended in both
difficult airway and
Resuscitation algorithm
 C Trach allows intubation
under direct vision

doctorsudarshan@gmail.com
 Single use, cuffless
 Integral gastric channel
 Epiglottic blocking ridge
 Moulding feature

doctorsudarshan@gmail.com
Insertion Technique
I GEL INSERTION
http://www.youtube.com/watch?v=8jqHCnThf1E
I GEL insertion in Lateral position
http://www.youtube.com/watch?v=uLtSojaSX6c

doctorsudarshan@gmail.com
Laryngeal Tube / KING LTS Tube

doctorsudarshan@gmail.com
King LTD Design

doctorsudarshan@gmail.com
King LTS-D Airway Design

doctorsudarshan@gmail.com
INSERTION STEPS
 Use lateral approach
 Introduce the tip into corner of
mouth
 Advance behind the base of
tongue
 Without exercising excessive
force, advance until the base
of the connector is aligned with
teeth.
 Inflate the cuff

doctorsudarshan@gmail.com
FINAL POSITION

doctorsudarshan@gmail.com
Laryngeal tube Insetion.
 http://www.youtube.com/watch?v=cBpU_fJ
e6ZA

doctorsudarshan@gmail.com
Cobra plus tube
 Distal end has softened
openings
 Used for both spontaneous
and controlled ventilation
 Serves as a rescue airway

doctorsudarshan@gmail.com
Streamlined liner of Pharyngeal airway -
SILPA
 Cuffless
 Lines the pharynx
 Large internal volume –
Allows collection of
secretion, minimize
aspiration

doctorsudarshan@gmail.com
Summary
 Provides hands free maintenance of airway
 Can be used for both spontaneous and controlled
ventilation
 Provide little protection against aspiration
 Useful in
 Routine anaesthesia
 emergency airway management
 Aid to intubation

The document discusses various airway management devices and techniques used in basic life support. It describes oropharyngeal airways, nasopharyngeal airways, laryngeal mask airways, endotracheal tubes, and difficult airway management devices like the Combitube. Guidelines for sizing and inserting these devices are provided, along with their indications, contraindications, and potential complications. Factors that can make intubation difficult are also outlined.

Airway devices and adjuncts

Anoop James

airway management yusuf 23.pptx

yusufanwar13

This document provides information on airway management techniques. It discusses: 1) The goals of airway management training which include assessment of the airway, and performing basic airway maneuvers and more advanced techniques like oropharyngeal airway placement and endotracheal intubation. 2) Anatomy of the upper and lower airways, as well as airway exams like thyromental distance and Mallampati scoring to assess difficulty. 3) Basic airway maneuvers like head-tilt/chin-lift and jaw thrust. 4) Placement of oropharyngeal airways and different types of supraglottic airway devices like LMAs, iGEL

Airway Devices Management

Dr. S.K. Varma

This document discusses various airway devices and their specifications. It describes simple airway devices like face masks, oropharyngeal airways and nasopharyngeal airways. It then discusses supraglottic airways like laryngeal mask airways and their evolution over time. Finally, it covers intraglottic devices like endotracheal tubes and various aids for intubation. Overall, the document provides an overview of the classification and features of many common airway devices used in anesthesia and emergency medicine.

Supraglottic airway devices

ZIKRULLAH MALLICK

Airway Management

Reza Aminnejad

I Gel Training

CriticalCare7

The document provides information about the i-GEL supraglottic airway and its use. It will replace the King LT-D tube and indications for use remain the same. The i-GEL has several advantages over the King LT-D like easier and faster insertion, multiple sizes, and a non-inflating cuff that creates a better seal. The document demonstrates proper preparation, size selection, insertion technique, securing, and monitoring of the i-GEL. Potential complications are also reviewed.

airway equipment.ppt

MisganawMengie

This document discusses various airway equipment used in anesthesia, including laryngeal mask airways (LMAs), oropharyngeal airways, and nasopharyngeal airways. It describes the evolution of extraglottic airway devices from first generation simple airway tubes to second and third generation devices that include drainage tubes and cuffless designs. Several specific airway devices are discussed in detail, including their advantages, disadvantages, and modifications over time. Overall, the document provides an overview of the types and classification of airway equipment as well as the history of innovations in extraglottic airway device design.

This document discusses Chronic Obstructive Pulmonary Disease (COPD). It outlines key factors to assess in a COPD patient's history including risk factors, symptoms, and comorbidities. Diagnostic tests for COPD include spirometry, chest X-rays, and blood gases. The goals of COPD management are to relieve symptoms, prevent progression, reduce mortality, and prevent/treat complications. Treatment involves smoking cessation, bronchodilators, pulmonary rehabilitation, oxygen therapy, and management of exacerbations. Nursing care focuses on assessing the patient's condition, educating on medications, breathing exercises, and self-care activities.

ketki asthma.pptx HDU/ICU care HDU/ICU care

MarkJohnson895316

This document defines asthma and outlines its diagnosis and management. It is a heterogeneous chronic disease characterized by variable airflow limitation and airway inflammation. Diagnosis is based on symptoms and lung function tests showing variability. Assessment of severity considers clinical signs and lung function. Acute severe asthma is life-threatening and requires prompt treatment with nebulized bronchodilators, systemic corticosteroids, and supplemental oxygen. Anesthetic management aims to prevent bronchospasm through careful agent selection and technique while optimizing treatment.

8009885.ppt BASIC LIFE SUPPORT ANAESTHESIA

MarkJohnson895316

1) Cardiopulmonary resuscitation (CPR) should be performed immediately when an individual is unresponsive and not breathing or circulating adequately. 2) Brain damage can occur within 3-4 minutes of no circulation, so CPR is crucial to perform as early as possible to increase chances of survival. 3) The basic steps of CPR are to check for responsiveness, open the airway, check for breathing, and if needed perform rescue breathing and chest compressions in a 15:2 ratio at 100-120 compressions per minute until emergency help arrives.

CPR CARDIO PULMONARY RESUSTICATION ANAESTHESIA

MarkJohnson895316

This document discusses cardiopulmonary resuscitation (CPR) and the classification and treatment of terminal patients. It covers the reversible stages of dying, defines clinical death as the cessation of circulation and breathing, and notes the timeframes for tissue survival without circulation. It describes the types of cardiac arrest and the basic ABC therapy approach. The document outlines techniques for CPR including chest compressions, ventilation, medications like epinephrine, and airway management methods. It discusses challenges with CPR delivery and notes recommendations to minimize interruptions in compressions.

local_anaesthesia-pharmacology2.ppt

MarkJohnson895316

This document discusses the pharmacodynamics and mechanisms of action of local anesthetics. It explains that local anesthetics work by reversibly blocking nerve conduction through either membrane expansion in the lipid cell membrane or specific binding to sodium channels. It then summarizes various local anesthetic drugs, including ester types like cocaine and procaine that are rapidly metabolized, and amide types like lidocaine, prilocaine, and bupivacaine that are metabolized in the liver. It provides details on the dosages, onsets of action, durations of action, and metabolism of several common local anesthetic drugs used in dentistry.

sa090418.pptx

MarkJohnson895316

The document discusses various supraglottic airway devices used to maintain airway patency and provide ventilation without intubation. It begins with an introduction and history of supraglottic devices, then covers their classification based on generation, sealing mechanism, and number of lumens. Key devices described include the Laryngeal Mask Airway family (Classic, Unique, Flexible, Fastrach, CTrach, ProSeal, Supreme), Air-Q, laryngeal tube, and Combitube. Placement technique, signs of correct positioning, complications, and advantages/disadvantages of certain devices are summarized.

5710005.ppt

MarkJohnson895316

The document discusses the components and design of medical gas pipeline systems used to deliver gases like oxygen, nitrous oxide, and air to patient care areas. Key points: - Pipeline systems include a central gas supply, piping that distributes the gases, and terminal units where gases are used. Two cylinder banks provide at least a day's supply and automatically switch so one is always running. - Oxygen can be supplied as compressed gas cylinders or cryogenic liquid. Liquid oxygen is stored in insulated containers to prevent evaporation. Nitrous oxide is also commonly stored in manifolded cylinders. - Piping uses identified copper tubing. Manual and service shutoff valves allow isolating parts

blood-PPT.pptx

MarkJohnson895316

Blood is a connective tissue consisting of plasma and cellular components. It has several functions and can be separated into components like packed red blood cells, platelets, fresh frozen plasma, and cryoprecipitate. These blood products are used to treat conditions like blood loss from trauma, bleeding disorders, and clotting factor deficiencies. Transfusions carry risks of both infectious complications from viruses or bacteria, as well as non-infectious complications from immunologic reactions or other issues like circulatory overload. Careful screening and matching of donors and recipients can reduce risks, but vigilance is important.

blood_products.ppt

MarkJohnson895316

This document discusses blood components and products, how they are prepared through centrifugation, their indications for use, and potential complications of blood transfusion. It covers whole blood, packed red blood cells, platelets, fresh frozen plasma, cryoprecipitate, granulocytes, acute immunologic effects like hemolytic and febrile reactions, acute non-immunologic effects like bacterial contamination and circulatory overload, delayed immunologic effects, delayed non-immunologic effects like hemosiderosis, and steps to take if a transfusion reaction occurs.

postoperativecarepleasedontdeleteplease-130129233843-phpapp02.pptx

MarkJohnson895316

This document discusses post-operative care, which aims to enable a successful and fast recovery for patients after surgery. It describes the roles of the PACU and SICU in providing immediate post-operative care and monitoring. The document outlines the nursing management responsibilities in the post-operative care unit, including assessing vital signs, intake/output, pain/anxiety management, and discharge criteria. The goal of post-operative care is to reduce complications and length of stay through close monitoring and management in the immediate post-surgical period.

32588_P0ST-OPERATIVE CARE.ppt

MarkJohnson895316

This document outlines the phases and goals of post-operative care, including immediate recovery, hospital stay, and recovery at home. It describes the causes and prevention of complications in the immediate postoperative period through monitoring and stabilization. The document then details aspects of care during the intermediate hospital stay phase, including wound care, drainage management, pulmonary care, fluid management, and pain management.

clostridium perfringens.ppt

MarkJohnson895316

Clostridium perfringens is a Gram-positive, anaerobic, spore-forming bacillus that can cause gas gangrene, food poisoning, and necrotic enteritis. It is a normal inhabitant of the intestines of humans and animals. C. perfringens produces several toxins including alpha, beta, epsilon, and iota toxins which are responsible for its pathogenicity and ability to cause diseases like gas gangrene. Gas gangrene following wounds involves rapid spreading myonecrosis associated with wounds that allow C. perfringens and other clostridia to enter muscle tissue with low oxygen levels. Laboratory diagnosis involves culture and identification of the bacteria and its toxins. Treatment involves surgery

lfa-161006111615.pptx

MarkJohnson895316

1. Low flow anaesthesia techniques utilize fresh gas flows that are less than the patient's alveolar ventilation, allowing for reuse of exhaled gases. 2. Initial induction involves high fresh gas flows to quickly achieve target anaesthetic concentrations, after which the flow is reduced to low levels. 3. Constant monitoring of oxygen and anaesthetic concentrations is essential when using low flows, as concentrations can change significantly with minor adjustments to flows and vaporizer settings.

BREATHING SYSTEMS 1.pptx

MarkJohnson895316

The document discusses different types of breathing systems used in anesthesia. It describes the Mapleson classification system which categorizes breathing circuits based on the location of the fresh gas inlet and adjustable pressure limiting valve, and whether they include a reservoir bag or corrugated tubing. The main Mapleson systems described are types A through F, with details provided on the configuration and uses of each type, especially the commonly used Mapleson A, D, and Bain modifications.

5063905.ppt

MarkJohnson895316

The document discusses the microscopic anatomy and physiology of heart muscle. It notes that heart muscle is stimulated by nerves and self-excitable, contracts as a unit, and has a long refractory period. The heart's intrinsic conduction system includes autorhythmic cells that initiate action potentials and have unstable resting potentials. The system's sequence of excitation involves the sinoatrial node generating impulses that are delayed by the atrioventricular node before passing to the ventricles via the bundle of His, which splits into pathways that carry the impulse through the heart.

Research, Monitoring and Evaluation, in Public Health

aghedogodday

Management of Post Operative Pain: to make doctors conscious about the benefi...

Nilima65

Recently uploaded

Research, Monitoring and Evaluation, in Public Health

aghedogodday

Management of Post Operative Pain: to make doctors conscious about the benefi...

Nilima65

Daughter's of Dr Ranjit Jagtap (Poulami & Aditi)

Aditi Jagtap Pune

muscluskeletal assessment...........pptx

RushikeshHange1

VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdf

Vedanta A

Enhancing Hip and Knee Arthroplasty Precision with Preoperative CT and MRI Im...

Pristyn Care Reviews

Precision becomes a byword, most especially in such procedures as hip and knee arthroplasty. The success of these surgeries is not just dependent on the skill and experience of the surgeons but is extremely dependent on preoperative planning. Recognizing this important need, Pristyn Care commits itself to the integration of advanced imaging technologies like CT (Computed Tomography) and MRI (Magnetic Resonance Imaging) into the surgical planning process.

Mental Health and Physical Wellbeing.pdf

shindesupriya013

Emotional and Behavioural Problems in Children - Counselling and Family Thera...

PsychoTech Services

Hypotension and role of physiotherapy in it

Vishal kr Thakur

This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it. This slide is very helpful for physiotherapy students and also for other medical and healthcare students. Here is the summary of hypotension: Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.

Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...

Lighthouse Retreat

NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPT

blessyjannu21

Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN. Emphysema is a disease condition of respiratory system. Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis. Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli. It is a type of chronic obstructive pulmonary disease. It is a progressive disease of lungs.

2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...

Media Logic

When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.

The Importance of Black Women Understanding the Chemicals in Their Personal C...

bkling

Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.

R3 Stem Cell Therapy: A New Hope for Women with Ovarian Failure

R3 Stem Cell

India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...

Kumar Satyam

According to TechSci Research report, “India Medical Devices Market Industry Size, Share, Trends, Competition, Opportunity and Forecast, 2019-2029,” the India Medical Devices Market was valued at USD 15.35 billion in 2023 and is anticipated to witness impressive growth in the forecast period, with a Compound Annual Growth Rate (CAGR) of 5.35% through 2029. This growth is driven by various factors, including strategic collaborations and partnerships among leading companies, a growing population, and the increasing demand for advanced healthcare solutions. Recent Trends Strategic Collaborations and Partnerships One of the most significant trends driving the India Medical Devices Market is the increasing number of collaborations and partnerships among leading companies. These alliances aim to merge the expertise of individual companies to strengthen their market position and enhance their product offerings. For instance, partnerships between local manufacturers and international companies bring advanced technologies and manufacturing techniques to the Indian market, fostering innovation and improving product quality. Browse over XX market data Figures and spread through XX Pages and an in-depth TOC on " India Medical Devices Market.” - https://www.techsciresearch.com/report/india-medical-devices-market/8161.html

National Rural Health Mission(NRHM).pptx

Jyoti Chand

U Part Wigs_ A Natural Look with Minimal Effort Jokerwigs.in.pdf

Jokerwigs arts and craft

Data-Driven Dispensing- Rise of AI in Pharmacies.pdf

Jasper Colin

Health Tech Market Intelligence Prelim Questions -

Gokul Rangarajan

The Ultimate Guide to Setting up Market Research in Health Tech part -1 How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research. This lays foundation of scoping research project what are the Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative: 1. Define Research Objectives and Scope Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies. Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT). 3. Review Existing Literature and Resources Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge. Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed. 4. Select Research Methodology and Tools Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics. Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations. 5. Ethical Considerations and Compliance Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects. Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA). 6. Budget and Resource Allocation Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research. Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan. 7. Develop Research Instruments Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data. Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection. 8. Sampling Strategy Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics. Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively. 9. Data Collection and Analysis Plan Data Collection: Implement methods for data gathering, ensuring consistency and validity. Analysis Techniques: Decide on analytical approaches (e.g., statistical

一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理

xkute

UoA毕业证学历书【微信95270640】办文凭{昆士兰科技大学毕业证}Q微Q微信95270640UoA毕业证书成绩单/学历认证UoA Diploma未毕业、挂科怎么办？+QQ微信：Q微信95270640-大学Offer（申请大学）、成绩单（申请考研）、语言证书、在读证明、使馆公证、办真实留信网认证、真实大使馆认证、学历认证办理国外昆士兰科技大学毕业证书 #成绩单改成绩 #教育部学历学位认证 #毕业证认证 #留服认证 #使馆认证（留学回国人员证明） #（证）等真实教育部认证教育部存档中国教育部留学服务中心认证（即教育部留服认证）网站100%可查. 真实使馆认证（即留学人员回国证明）使馆存档可通过大使馆查询确认. 留信网认证国家专业人才认证中心颁发入库证书留信网永久存档可查. 昆士兰科技大学昆士兰科技大学毕业证文凭证书毕业证 #成绩单等全套材料从防伪到印刷从水印到钢印烫金跟学校原版100%相同. 国际留学归国服务中心：实体公司注册经营行业标杆精益求精！国外毕业证学位证成绩单办理流程： 1客户提供办理昆士兰科技大学昆士兰科技大学毕业证文凭证书信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）； 2开始安排制作昆士兰科技大学毕业证成绩单电子图； 3昆士兰科技大学毕业证成绩单电子版做好以后发送给您确认； 4昆士兰科技大学毕业证成绩单电子版您确认信息无误之后安排制作成品； 5昆士兰科技大学成品做好拍照或者视频给您确认； 6快递给客户（国内顺丰国外DHLUPS等快递邮寄昆士兰科技大学昆士兰科技大学毕业证文凭证书）。闷不乐的样子父亲特意带山娃去找三楼房东家的儿子小伍玩小伍比山娃小一岁虎头虎脑的很霸气父亲让山娃跟小伍去夏令营听课山娃很高兴夏令营就设在附近一所小学山娃发现那所小学比自己的学校更大更美操场上还铺有塑胶跑道呢里面很多小朋友一班一班的快快乐乐原来城里娃都藏这儿来了怪不得平时见不到他们山娃恍然大悟起来吹拉弹唱琴棋书画山娃都不懂却什么都想学山娃怨自己太笨什么都不会斟酌再三山娃终于选定了学美术当听说每月要交感

Recently uploaded (20)

Research, Monitoring and Evaluation, in Public Health

Management of Post Operative Pain: to make doctors conscious about the benefi...

Daughter's of Dr Ranjit Jagtap (Poulami & Aditi)

muscluskeletal assessment...........pptx

VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdf

Enhancing Hip and Knee Arthroplasty Precision with Preoperative CT and MRI Im...

Mental Health and Physical Wellbeing.pdf

Emotional and Behavioural Problems in Children - Counselling and Family Thera...

Hypotension and role of physiotherapy in it

Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...

NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPT

2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...

The Importance of Black Women Understanding the Chemicals in Their Personal C...

R3 Stem Cell Therapy: A New Hope for Women with Ovarian Failure

India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...

National Rural Health Mission(NRHM).pptx

U Part Wigs_ A Natural Look with Minimal Effort Jokerwigs.in.pdf

Data-Driven Dispensing- Rise of AI in Pharmacies.pdf

Health Tech Market Intelligence Prelim Questions -

一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理

Advancement in Supra-glottic Airways.ppt

1. Advances in Supraglottic Airway Dr. K. Sudarshan Consultant Anaesthetist Coimbatore

2. doctorsudarshan@gmail.com Which ones qualify ? Should satisfy the following conditions

3. doctorsudarshan@gmail.com 1. Placed above the vocal cord level 2. Those devices which allow hands-free maintenance of an open airway 3. Allows spontaneous or assisted ventilation

4. doctorsudarshan@gmail.com  1908- Hewitt Airway  1913- Connell  1915- Lumbard  1916 – Mona Roberts  1923 - Phillips  1924 – Poe  1930 – Waters insufflation  1933 – Guedel  1957- Fink vallecular  1957 – Safar Airway  1977 – Berman intubating  1982 – Patil Syracuse  1983 – Laryngeal Mask – Archie brain  1985 – Combitube 1908 to date

5. doctorsudarshan@gmail.com Sir Frederic William Hewitt 1856 - 1916 The original Hewitt airway as it appeared in the February 15, 1908 issue of The Lancet. A modified version of the original Hewitt airway

6. doctorsudarshan@gmail.com Dr.Arthur Guedel 1883-1956

7. doctorsudarshan@gmail.com Dr.Peter Safar

8. doctorsudarshan@gmail.com Dr. Archie Brain

9. doctorsudarshan@gmail.com NASOPHARYNGEAL AIRWAY COPA COMBITUBE

10. doctorsudarshan@gmail.com Advancements  New generation LMA’s  I gel  Laryngeal Tube/ King LTS/ LTD  Cobra plus tube

11. doctorsudarshan@gmail.com Generally demonstrate  Ability to be placed without direct visualization  Better cardio vascular stability both during insertion and removal  Minimal IOP and ICP changes  Provide little protection against aspiration  Contraindicated in full stomach patients

12. doctorsudarshan@gmail.com Proseal & LMA Supreme  Has two separate tubes  Three dimensional inflation of cuff  Holds a better cuff seal pressure

13. doctorsudarshan@gmail.com Flexible & Ambu LMA  Flexometallic tube  Preformed angle  Better placement  Less incidence of dislodgement once placed  More useful in head and neck surgery

14. doctorsudarshan@gmail.com ILMA & LMA C Trach  Allows intubation with minimal head and neck manipulation  Recommended in both difficult airway and Resuscitation algorithm  C Trach allows intubation under direct vision

15. doctorsudarshan@gmail.com

16. doctorsudarshan@gmail.com  Single use, cuffless  Integral gastric channel  Epiglottic blocking ridge  Moulding feature

17. doctorsudarshan@gmail.com Insertion Technique I GEL INSERTION http://www.youtube.com/watch?v=8jqHCnThf1E I GEL insertion in Lateral position http://www.youtube.com/watch?v=uLtSojaSX6c

18. doctorsudarshan@gmail.com Laryngeal Tube / KING LTS Tube

19. doctorsudarshan@gmail.com King LTD Design

20. doctorsudarshan@gmail.com King LTS-D Airway Design

21. doctorsudarshan@gmail.com INSERTION STEPS  Use lateral approach  Introduce the tip into corner of mouth  Advance behind the base of tongue  Without exercising excessive force, advance until the base of the connector is aligned with teeth.  Inflate the cuff

22. doctorsudarshan@gmail.com FINAL POSITION

23. doctorsudarshan@gmail.com Laryngeal tube Insetion.  http://www.youtube.com/watch?v=cBpU_fJ e6ZA

24. doctorsudarshan@gmail.com Cobra plus tube  Distal end has softened openings  Used for both spontaneous and controlled ventilation  Serves as a rescue airway

25. doctorsudarshan@gmail.com Streamlined liner of Pharyngeal airway - SILPA  Cuffless  Lines the pharynx  Large internal volume – Allows collection of secretion, minimize aspiration

26. doctorsudarshan@gmail.com Summary  Provides hands free maintenance of airway  Can be used for both spontaneous and controlled ventilation  Provide little protection against aspiration  Useful in  Routine anaesthesia  emergency airway management  Aid to intubation

27. doctorsudarshan@gmail.com THANK YOU

Advancement in Supra-glottic Airways.ppt

Recommended

Recommended

More Related Content

More from MarkJohnson895316

More from MarkJohnson895316 (20)

Recently uploaded

Recently uploaded (20)

Advancement in Supra-glottic Airways.ppt