Possible Reuse of Anesthesia Breathing Circuits on Multiple Patients Under Ge...Steve Koontz
Power point presentation about the possible reuse of anesthesia breathing circuits by Steve Koontz, Director of Sales Training, ARC Medical. August 2012
This document discusses complex surgical instruments used in medical procedures. It provides an overview of powered surgical instruments, which can be electrically, pneumatically, or battery powered. These instruments are delicate and difficult to clean due to their complex internal mechanisms. The document outlines the multi-step process required to properly clean, disinfect, and sterilize powered instruments according to manufacturer guidelines. It also discusses endoscopic instruments, including flexible fiberoptic and rigid endoscopes. Endoscopes pose challenges for cleaning due to internal channels and crevices. The document stresses the importance of following regulations and guidelines as well as manufacturer instructions to safely reprocess these specialized medical devices.
This document provides guidance on peripherally inserted central catheter (PICC) and central venous catheter (CVC) dressing changes and care. It discusses assessing the condition of dressings, indicators for changing dressings, cleaning and dressing change techniques, and documentation requirements. Key steps include cleaning the site with chlorhexidine, using aseptic technique, changing dressings based on integrity and dryness, and documenting assessments, interventions, and patient education.
Ultrasonic and sonic instumentation.periodonticsArya V Devi
This document provides information on sonic and ultrasonic instrumentation used in periodontics. It discusses the different types of sonic and ultrasonic scalers, including piezoelectric and magnetostrictive scalers. It describes the parts, power, frequency, tips, and proper use of ultrasonic scalers. Precautions, limitations, and clinical debridement procedures using ultrasonic scalers are also summarized.
This document discusses laparoscopic instruments and ergonomics. It begins with an introduction to how laparoscopic surgery has changed general surgery and the importance for students to be familiar with this area. It then provides a detailed overview of the various laparoscopic instruments used, including cameras, light sources, insufflators, monitors, telescopes, trocars, graspers, dissectors, scissors, clip appliers, and staplers. The second half focuses on ergonomics, defining it and discussing concepts like the straight line principle, triangulation, ideal manipulation angles, and the surgeon's stance to promote safety, health and effective task performance.
Orthopaedic Surgery during and after COVID 19 - Dr. Kalaivanan Kanniyan Queen Mary Hospital
Regional anesthesia over general anesthesia is recommended when possible to limit people and movement in the operating theater and reduce risks. Proper protective equipment including masks, eye shields, gowns, shoe covers, and limited instrumentation with thorough cleaning is crucial for all staff in the operating theater to maintain safety. The goal is to follow basic guidelines and routines for positive cases while recognizing there is no single gold standard approach.
Ellen O’Sullivan presents an outline of the Difficult Airway Society (DAS) Guidelines on airway management.
Airway management is a fundamental responsibility and skill of all involved especially for emergency physicians, anaesthetists and critical care physicians.
Ellen makes the point that mismanagement of airways leads to severe morbidity and mortality.
She provides a few harrowing examples.
The 2015 Difficult Airway Society guidelines, published in the British Journal of Anaesthesia in December 2015, provide a sequential series of plans (A to D) to implement when tracheal intubation fails.
They promote patient safety by prioritising oxygenation and minimising trauma. Furthermore, they highlight the role of neuromuscular blockade in making airway management easier. The guidelines recognise the difficulties in decision making during an emergency and stress importance of human factor training.
The guidelines include steps to assist the anaesthetic team by providing a common stem of options (a simple algorithm) for maintaining oxygenation, limiting the number of airway intervention attempts, encouraging declaration of failure by placing a Supraglottic Airway Device and overtly recommending a time for stopping and thinking.
They emphasise the importance of considering discontinuing anaesthesia and waking the patient up (if appropriate) when tracheal intubation has failed. The guidelines recommend videolaryngoscopy and second generation Supraglottic Airway Devices. All anaesthetists, intensivists and emergency medicine physicians should be able to use these devices.
There is limited evidence relating to the management of the ‘can’t intubate can’t oxygenate’ situation (CICO) PLAN D. However, all anaesthetists should be able to perform a surgical cricothyroidotomy (and trained accordingly).
Join Ellen as she provides you with what you need to know for management of the difficult airway, in line with the DAS Guidelines.
For more like this, head to our podcast page. #CodaPodcast
This document summarizes recent developments in airway management. It discusses new techniques for preoperative airway assessment including nasopharyngoscopy and use of ultrasound. It also discusses newer airway devices like videolaryngoscopes and second-generation supraglottic airways. Issues around techniques like cricoid pressure and extubation of difficult airways are analyzed. The importance of human factors, simulation-based training and dissemination of difficult airway information is emphasized to improve patient safety.
Possible Reuse of Anesthesia Breathing Circuits on Multiple Patients Under Ge...Steve Koontz
Power point presentation about the possible reuse of anesthesia breathing circuits by Steve Koontz, Director of Sales Training, ARC Medical. August 2012
This document discusses complex surgical instruments used in medical procedures. It provides an overview of powered surgical instruments, which can be electrically, pneumatically, or battery powered. These instruments are delicate and difficult to clean due to their complex internal mechanisms. The document outlines the multi-step process required to properly clean, disinfect, and sterilize powered instruments according to manufacturer guidelines. It also discusses endoscopic instruments, including flexible fiberoptic and rigid endoscopes. Endoscopes pose challenges for cleaning due to internal channels and crevices. The document stresses the importance of following regulations and guidelines as well as manufacturer instructions to safely reprocess these specialized medical devices.
This document provides guidance on peripherally inserted central catheter (PICC) and central venous catheter (CVC) dressing changes and care. It discusses assessing the condition of dressings, indicators for changing dressings, cleaning and dressing change techniques, and documentation requirements. Key steps include cleaning the site with chlorhexidine, using aseptic technique, changing dressings based on integrity and dryness, and documenting assessments, interventions, and patient education.
Ultrasonic and sonic instumentation.periodonticsArya V Devi
This document provides information on sonic and ultrasonic instrumentation used in periodontics. It discusses the different types of sonic and ultrasonic scalers, including piezoelectric and magnetostrictive scalers. It describes the parts, power, frequency, tips, and proper use of ultrasonic scalers. Precautions, limitations, and clinical debridement procedures using ultrasonic scalers are also summarized.
This document discusses laparoscopic instruments and ergonomics. It begins with an introduction to how laparoscopic surgery has changed general surgery and the importance for students to be familiar with this area. It then provides a detailed overview of the various laparoscopic instruments used, including cameras, light sources, insufflators, monitors, telescopes, trocars, graspers, dissectors, scissors, clip appliers, and staplers. The second half focuses on ergonomics, defining it and discussing concepts like the straight line principle, triangulation, ideal manipulation angles, and the surgeon's stance to promote safety, health and effective task performance.
Orthopaedic Surgery during and after COVID 19 - Dr. Kalaivanan Kanniyan Queen Mary Hospital
Regional anesthesia over general anesthesia is recommended when possible to limit people and movement in the operating theater and reduce risks. Proper protective equipment including masks, eye shields, gowns, shoe covers, and limited instrumentation with thorough cleaning is crucial for all staff in the operating theater to maintain safety. The goal is to follow basic guidelines and routines for positive cases while recognizing there is no single gold standard approach.
Ellen O’Sullivan presents an outline of the Difficult Airway Society (DAS) Guidelines on airway management.
Airway management is a fundamental responsibility and skill of all involved especially for emergency physicians, anaesthetists and critical care physicians.
Ellen makes the point that mismanagement of airways leads to severe morbidity and mortality.
She provides a few harrowing examples.
The 2015 Difficult Airway Society guidelines, published in the British Journal of Anaesthesia in December 2015, provide a sequential series of plans (A to D) to implement when tracheal intubation fails.
They promote patient safety by prioritising oxygenation and minimising trauma. Furthermore, they highlight the role of neuromuscular blockade in making airway management easier. The guidelines recognise the difficulties in decision making during an emergency and stress importance of human factor training.
The guidelines include steps to assist the anaesthetic team by providing a common stem of options (a simple algorithm) for maintaining oxygenation, limiting the number of airway intervention attempts, encouraging declaration of failure by placing a Supraglottic Airway Device and overtly recommending a time for stopping and thinking.
They emphasise the importance of considering discontinuing anaesthesia and waking the patient up (if appropriate) when tracheal intubation has failed. The guidelines recommend videolaryngoscopy and second generation Supraglottic Airway Devices. All anaesthetists, intensivists and emergency medicine physicians should be able to use these devices.
There is limited evidence relating to the management of the ‘can’t intubate can’t oxygenate’ situation (CICO) PLAN D. However, all anaesthetists should be able to perform a surgical cricothyroidotomy (and trained accordingly).
Join Ellen as she provides you with what you need to know for management of the difficult airway, in line with the DAS Guidelines.
For more like this, head to our podcast page. #CodaPodcast
This document summarizes recent developments in airway management. It discusses new techniques for preoperative airway assessment including nasopharyngoscopy and use of ultrasound. It also discusses newer airway devices like videolaryngoscopes and second-generation supraglottic airways. Issues around techniques like cricoid pressure and extubation of difficult airways are analyzed. The importance of human factors, simulation-based training and dissemination of difficult airway information is emphasized to improve patient safety.
Cleaning and shaping the root canal systemParth Thakkar
The document discusses various techniques for cleaning and shaping the root canal during endodontic treatment. The objectives are to remove infected tissue, provide access for irrigants and medicaments, create space for obturation, and maintain tooth integrity. Key steps discussed include determining working length, instrumentation using techniques like step-back preparation, and irrigation. Factors that can affect working length determination and techniques to enhance cleaning and shaping are also outlined.
DENTAL BIOAEROSOL AS AN OCCUPATIONAL HAZARD IN A DENTIST’S WORKPLACE
NOTE : all this from my reading in some scientific website and articles
I hope that you enjoy and you benefit❤
This document discusses current concepts in managing the difficult airway. It summarizes several alternative airway devices and techniques including lighted stylets, video laryngoscopes, rigid and flexible fiber-optic laryngoscopes, supraglottic airway devices, awake intubation techniques using topical anesthesia, flexible fiber-optic intubation, retrograde intubation, transtracheal jet ventilation, cricothyrotomy, and tracheostomy. It provides tables describing many new airway devices and concludes that clinical experience is crucial for applying these techniques and devices to solve most airway problems.
Transgastric and transvaginal endoscopic cholecystectomy procedures were performed in 27 patients between 2007-2008. The procedures were performed using hybrid NOTES techniques, with laparoscopic assistance. Both transgastric and transvaginal routes were utilized to access the peritoneal cavity. The authors present their initial experience with these novel natural orifice techniques for cholecystectomy in humans.
Hazop study on sewage treatment plant at educational institutioneSAT Publishing House
IJRET : International Journal of Research in Engineering and Technology is an international peer reviewed, online journal published by eSAT Publishing House for the enhancement of research in various disciplines of Engineering and Technology. The aim and scope of the journal is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high-level learning, teaching and research in the fields of Engineering and Technology. We bring together Scientists, Academician, Field Engineers, Scholars and Students of related fields of Engineering and Technology
airway management by comparative study beyween Airtraq and McGrath Videolaryngoscope and Classical Macintosh in neutral neck position (stimulated cervical injury scenarios)
Dr.Sachdeva's Dental Institute is a Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Call us regarding Denta treatment:-
Dr. Rajat Sachdeva
+919818894041,01142464041
drrajatsachdeva@gmail.com
Follow us here:-
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Learn more:-
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
vital role
Pre-oxygenation: vital
Awake intubation: consider
Alternative airway: have ready
Senior help: call early
Cricothyrotomy: know how to do
Postpone if not urgent
Don't panic, think and act
Document: vitally important
Prepare for worst
Train and practice regularly
Biomechanical preparation of root canal / dental implant coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
The document discusses difficult airway assessment and management. It defines a difficult airway as situations involving difficult mask ventilation, difficult intubation, difficult placement of a supraglottic airway device, or difficult surgical airway access. It describes predictors of a difficult airway related to patient characteristics and anatomy. It also discusses the importance of assessing the airway and having appropriate equipment and personnel prepared when encountering an anticipated or unanticipated difficult airway.
Introductory/onboarding training for Video Laryngeoscopy, specifically for the MacGrath VL.
NOTE: This is meant to be part of a larger educational endeavor including online, hands on, and team based training.
Laparoscopy carts contain equipment for performing laparoscopic surgery, including an imaging system, insufflation system, and various laparoscopic instruments. The key components are:
1. An imaging system including a laparoscope, light source, video camera and monitor for visualizing the surgical area.
2. An insufflation system such as a CO2 insufflator to pump gas into the abdominal cavity and create pneumoperitoneum.
3. Various laparoscopic instruments for accessing, manipulating and operating on tissues, including trocars, graspers, dissectors, scissors, clip appliers and electrosurgical devices. Proper cleaning, disinfection and sterilization of reusable
Laparoscopy carts contain equipment for performing laparoscopic surgery, including an imaging system, insufflation system, and various laparoscopic instruments. The key components are:
1. An imaging system including a laparoscope, light source, video camera and monitor for visualizing the surgical area.
2. An insufflation system to pump carbon dioxide gas into the abdominal cavity and maintain pneumoperitoneum.
3. Various specialized laparoscopic instruments for accessing, manipulating and operating on tissues, including graspers, dissectors, scissors, clip appliers and electrosurgical devices. Proper cleaning, disinfection and sterilization of reusable equipment is essential.
This document provides an overview of the key components and instruments used in laparoscopic surgery. It describes the laparoscopy cart which houses the imaging system, insufflation system, and various instrumentation. The principal components are outlined as the image production system, pneumoperitoneum for insufflation of gas, and laparoscopic instruments. Various optical devices, trocars, graspers, dissectors, scissors, and other operative instruments are explained. Methods for tissue approximation and hemostasis such as clip appliers and staplers are also reviewed. The document concludes with guidelines for care and sterilization of laparoscopic equipment.
This document provides an overview of the key components and instruments used in laparoscopic surgery. It describes the laparoscopy cart which houses the imaging system, insufflation system, and various instrumentation. The principal components are outlined as the image production system, pneumoperitoneum for abdominal insufflation with CO2, and laparoscopic instruments. Various optical devices, trocars, graspers, dissectors, scissors, and other operative instruments are defined along with how they are used laparoscopically. Methods for tissue approximation, hemostasis, and specimen retrieval are also summarized. Guidelines for cleaning, disinfection and sterilizing the reusable laparoscopic equipment conclude the document.
DIFFICULT AIRWAY SOCIETY GUIDELINES PPT.sunnysam4072
1. The 2022 American Society of Anesthesiologists guidelines for difficult airways emphasize performing awake intubation to avoid hypoxic emergencies, optimizing oxygenation throughout the procedure, and limiting intubation attempts to prevent complications.
2. The 2016 All India Difficult Airway Association guidelines recommend different techniques than ASA such as using a bougie or supraglottic airway for intubation and defining 'complete ventilation failure' after three intubation attempts or two supraglottic device attempts.
3. Guidelines aim to improve patient safety during airway management by outlining assessment, strategy, oxygenation maintenance, and calling for help during difficult intubation situations.
This document summarizes various medical instruments commonly used in wards, including their names, functions and brief descriptions. It discusses instruments such as needle forceps, dressing scissors, ear syringes, vomit bowls, sputum mugs, sponge forceps, tongue forceps, episiotomy scissors, gallipots, hot water bags, and peak flow meters. Over 40 different instruments are defined that are used for procedures like suturing, wound dressing, irrigation, specimen collection, holding tools and tissues, and examining various body parts.
The document presents updated 2015 guidelines from the Difficult Airway Society for managing unanticipated difficult intubation in adults. Key points of the guidelines include:
1) Emphasis is placed on assessment, preparation, positioning, preoxygenation, maintaining oxygenation, and minimizing trauma from interventions.
2) If tracheal intubation fails, supraglottic airway devices are recommended to provide oxygenation while considering next steps.
3) When both tracheal intubation and supraglottic airway insertion fail, waking the patient is the default option, but cricothyroidotomy should be performed if face mask oxygenation is impossible due to muscle relaxation.
Cliff Reid and Brian Burns are known world wide for their work in prehospital education, training and research, most notably at the Greater Sydney Area HEMS service.
We were fortunate to have them come visit at the repel REPEL course (http://repel.dk/) and they kindly agreed to give a talk each at Odense University Hospital.
These slides accompany the talk that you can see here: https://scanfoam.org/cliff-reid-training-hems-teams/
Here's Cliff's talk with 10 lessons from his many years developing a world class HEMS training programme.
Visit the GSA HEMS homepage for loads of more content:
https://sydneyhems.com/
Also, Cliff has a lot of related teachings on his blog:
http://resus.me/
Cleaning and shaping the root canal systemParth Thakkar
The document discusses various techniques for cleaning and shaping the root canal during endodontic treatment. The objectives are to remove infected tissue, provide access for irrigants and medicaments, create space for obturation, and maintain tooth integrity. Key steps discussed include determining working length, instrumentation using techniques like step-back preparation, and irrigation. Factors that can affect working length determination and techniques to enhance cleaning and shaping are also outlined.
DENTAL BIOAEROSOL AS AN OCCUPATIONAL HAZARD IN A DENTIST’S WORKPLACE
NOTE : all this from my reading in some scientific website and articles
I hope that you enjoy and you benefit❤
This document discusses current concepts in managing the difficult airway. It summarizes several alternative airway devices and techniques including lighted stylets, video laryngoscopes, rigid and flexible fiber-optic laryngoscopes, supraglottic airway devices, awake intubation techniques using topical anesthesia, flexible fiber-optic intubation, retrograde intubation, transtracheal jet ventilation, cricothyrotomy, and tracheostomy. It provides tables describing many new airway devices and concludes that clinical experience is crucial for applying these techniques and devices to solve most airway problems.
Transgastric and transvaginal endoscopic cholecystectomy procedures were performed in 27 patients between 2007-2008. The procedures were performed using hybrid NOTES techniques, with laparoscopic assistance. Both transgastric and transvaginal routes were utilized to access the peritoneal cavity. The authors present their initial experience with these novel natural orifice techniques for cholecystectomy in humans.
Hazop study on sewage treatment plant at educational institutioneSAT Publishing House
IJRET : International Journal of Research in Engineering and Technology is an international peer reviewed, online journal published by eSAT Publishing House for the enhancement of research in various disciplines of Engineering and Technology. The aim and scope of the journal is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high-level learning, teaching and research in the fields of Engineering and Technology. We bring together Scientists, Academician, Field Engineers, Scholars and Students of related fields of Engineering and Technology
airway management by comparative study beyween Airtraq and McGrath Videolaryngoscope and Classical Macintosh in neutral neck position (stimulated cervical injury scenarios)
Dr.Sachdeva's Dental Institute is a Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Call us regarding Denta treatment:-
Dr. Rajat Sachdeva
+919818894041,01142464041
drrajatsachdeva@gmail.com
Follow us here:-
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Learn more:-
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
vital role
Pre-oxygenation: vital
Awake intubation: consider
Alternative airway: have ready
Senior help: call early
Cricothyrotomy: know how to do
Postpone if not urgent
Don't panic, think and act
Document: vitally important
Prepare for worst
Train and practice regularly
Biomechanical preparation of root canal / dental implant coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
The document discusses difficult airway assessment and management. It defines a difficult airway as situations involving difficult mask ventilation, difficult intubation, difficult placement of a supraglottic airway device, or difficult surgical airway access. It describes predictors of a difficult airway related to patient characteristics and anatomy. It also discusses the importance of assessing the airway and having appropriate equipment and personnel prepared when encountering an anticipated or unanticipated difficult airway.
Introductory/onboarding training for Video Laryngeoscopy, specifically for the MacGrath VL.
NOTE: This is meant to be part of a larger educational endeavor including online, hands on, and team based training.
Laparoscopy carts contain equipment for performing laparoscopic surgery, including an imaging system, insufflation system, and various laparoscopic instruments. The key components are:
1. An imaging system including a laparoscope, light source, video camera and monitor for visualizing the surgical area.
2. An insufflation system such as a CO2 insufflator to pump gas into the abdominal cavity and create pneumoperitoneum.
3. Various laparoscopic instruments for accessing, manipulating and operating on tissues, including trocars, graspers, dissectors, scissors, clip appliers and electrosurgical devices. Proper cleaning, disinfection and sterilization of reusable
Laparoscopy carts contain equipment for performing laparoscopic surgery, including an imaging system, insufflation system, and various laparoscopic instruments. The key components are:
1. An imaging system including a laparoscope, light source, video camera and monitor for visualizing the surgical area.
2. An insufflation system to pump carbon dioxide gas into the abdominal cavity and maintain pneumoperitoneum.
3. Various specialized laparoscopic instruments for accessing, manipulating and operating on tissues, including graspers, dissectors, scissors, clip appliers and electrosurgical devices. Proper cleaning, disinfection and sterilization of reusable equipment is essential.
This document provides an overview of the key components and instruments used in laparoscopic surgery. It describes the laparoscopy cart which houses the imaging system, insufflation system, and various instrumentation. The principal components are outlined as the image production system, pneumoperitoneum for insufflation of gas, and laparoscopic instruments. Various optical devices, trocars, graspers, dissectors, scissors, and other operative instruments are explained. Methods for tissue approximation and hemostasis such as clip appliers and staplers are also reviewed. The document concludes with guidelines for care and sterilization of laparoscopic equipment.
This document provides an overview of the key components and instruments used in laparoscopic surgery. It describes the laparoscopy cart which houses the imaging system, insufflation system, and various instrumentation. The principal components are outlined as the image production system, pneumoperitoneum for abdominal insufflation with CO2, and laparoscopic instruments. Various optical devices, trocars, graspers, dissectors, scissors, and other operative instruments are defined along with how they are used laparoscopically. Methods for tissue approximation, hemostasis, and specimen retrieval are also summarized. Guidelines for cleaning, disinfection and sterilizing the reusable laparoscopic equipment conclude the document.
DIFFICULT AIRWAY SOCIETY GUIDELINES PPT.sunnysam4072
1. The 2022 American Society of Anesthesiologists guidelines for difficult airways emphasize performing awake intubation to avoid hypoxic emergencies, optimizing oxygenation throughout the procedure, and limiting intubation attempts to prevent complications.
2. The 2016 All India Difficult Airway Association guidelines recommend different techniques than ASA such as using a bougie or supraglottic airway for intubation and defining 'complete ventilation failure' after three intubation attempts or two supraglottic device attempts.
3. Guidelines aim to improve patient safety during airway management by outlining assessment, strategy, oxygenation maintenance, and calling for help during difficult intubation situations.
This document summarizes various medical instruments commonly used in wards, including their names, functions and brief descriptions. It discusses instruments such as needle forceps, dressing scissors, ear syringes, vomit bowls, sputum mugs, sponge forceps, tongue forceps, episiotomy scissors, gallipots, hot water bags, and peak flow meters. Over 40 different instruments are defined that are used for procedures like suturing, wound dressing, irrigation, specimen collection, holding tools and tissues, and examining various body parts.
The document presents updated 2015 guidelines from the Difficult Airway Society for managing unanticipated difficult intubation in adults. Key points of the guidelines include:
1) Emphasis is placed on assessment, preparation, positioning, preoxygenation, maintaining oxygenation, and minimizing trauma from interventions.
2) If tracheal intubation fails, supraglottic airway devices are recommended to provide oxygenation while considering next steps.
3) When both tracheal intubation and supraglottic airway insertion fail, waking the patient is the default option, but cricothyroidotomy should be performed if face mask oxygenation is impossible due to muscle relaxation.
Similar to Airway decontamination - the "dark side" of airway management (20)
Cliff Reid and Brian Burns are known world wide for their work in prehospital education, training and research, most notably at the Greater Sydney Area HEMS service.
We were fortunate to have them come visit at the repel REPEL course (http://repel.dk/) and they kindly agreed to give a talk each at Odense University Hospital.
These slides accompany the talk that you can see here: https://scanfoam.org/cliff-reid-training-hems-teams/
Here's Cliff's talk with 10 lessons from his many years developing a world class HEMS training programme.
Visit the GSA HEMS homepage for loads of more content:
https://sydneyhems.com/
Also, Cliff has a lot of related teachings on his blog:
http://resus.me/
Sänkt medvetande - Jonathan Ilicki for scanFOAMMads Astvad
Talk from Jonathan Ilicki about decreased level of consciousness. Leave your mnemonics behind.
Full talk at https://scanfoam.org/the-unconscious-patient-10-ways-to-improve-management/
Stuart Duffin is an intensive care doctor & anaesthetist working in Stockholm, Sweden. In this talk from #SWEETS17 he looks at the difficulties front line clinicians face when predicting prognisis in severe traumatic brain injury. How can we possibly be able to look reliably into the future to allow us to make the right decisions? How can we avoid falling into the fallacy of the self fullfilling prophecy and not even knowing it?
Full talk: http://scanfoam.org/prognosis-in-tbi-a-hard-nut-to-crack/
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Airway decontamination - the "dark side" of airway management
1. Airway Decontamination—
The “Dark Side” of Airway
Management
#TBS18
James DuCanto, M.D.
Director of Simulation Center
Aurora St. Luke’s Medical Center
Milwaukee, Wisconsin, USA
Twitter @jducanto
Facebook SALAD Simulation
2. Disclosures
Dr. DuCanto is the inventor of
the SALAD Mannequin (from
Lifeform/Nasco) and the
DuCanto Suction Catheter (from
SSCOR) and receives royalties on
these products.
Links to the creation of your own
SALAD Mannequin as well as the
commercially available simulation
system will be provided at the end of
the presentation.
3. Goal of this presentation…
Why is Airway Contamination important?
Airway Contamination is one of the major causes of
failure in first-pass tracheal intubation attempts in
Emergency and Critical Care airway management.
New tools and skills available for management of
airway.
Learn the methods to handle this problem?
Use of a simulation system to model airway
decontamination during airway management.
4. Two sides of the “coin” in our modern
conception of airway management…
• Ventilation (the “Bright Side”)
• Decontamination (the “Dark Side”)
5. Ventilation: The “Bright” Side of the
Airway Management Coin
• Ventilation-Centered Airway Management
– Core principal of all current airway algorithms
– Does not specifically address the steps required to
decontaminate the airway
6. Limitations of Current Algorithms
• Ventilation centered algorithms can
encourage ventilation in the presence of a
grossly contaminated airway, ensuring
aspiration of airway contaminants
• Decontamination of the airway is an
important and poorly defined step in airway
management
7. The presence of airway contaminants:
• Negates ventilation by mask or supraglottic
airways
• Negates apneic oxygenation (NODESAT)
8. • Negates all methods of airway endoscopy
“Fluids are the ENEMY of all airway Management” – Richard Levitan, M.D.
A major determinant in failure of first pass intubation
attempts
9. Observational study of 906 consecutive patients
intubated with a video laryngoscope in an single-
center academic ICU between January 2012 and
January 2016.
Results: Top two determinants of first attempt failure
at tracheal intubation with video laryngoscopy were
presence of blood in the airway followed by airway
edema.
10. How frequently do contaminated
airways occur in resuscitation?
Prospective observational study of all OOHCA> 18 yo calendar year 2013
12. Fundamental Points of SALAD
• Rigid suction catheter utilized to assist:
Laryngoscope blade insertion
Tongue control and readjustments (if needed)
Ongoing decontamination of fluids
• Avoid mistakes in emergency airway
management Poor tongue control
Insertion of laryngoscope in grossly
contaminated airway
Strategy for ongoing airway decontamination
14. The “Standard Equipment” since 1907:
The Yankauer Suction Catheter
• Yankauer (Created 110 years ago this year
2017!)
– Innovation of Sidney Yankauer, M.D.,
Otolaryngologist Mount Sinai Hospital, New York
City, circa 1907
• Intended for intraoral surgery
• Many design variations
15. • Intended to remove blood (liquid phase)
without removing the growing clot to speed
surgical hemostasis
– Small holes in tip prevent entraining tissue into
catheter
– Size of holes in tip vary substantially between
models and manufacturers
16. Conmed: The Big-Yank™ Suction System
1998, commercially available)7/ 1/ 17, 4:57 AMency Medical Products
U of M:
1 EACH
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Conmed The Big Yank Suction System
by CONMED
0034920U - CONMED BIG YANK SUCTION TUBING & TIP
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performance and standar dization needs. When every second counts, the patented two-piece design allows you to conduct your standar d suction
or viscous matter .
or and tubing all pr e-attached. (Canister not included.) The unit also features a control vent for added functionality .
Cost: $ 16 USD Approx.
19. SSCOR Hi-D® (Available since 1987)
Features:
-Large internal diameter in tip (0.25 in/6.6 mm)
-Vent hole
-Shape compatible for use with standard direct
laryngoscopy blades
-Side ports at distal tip to prevent tissue
entrainment
20. DuCanto Suction Catheter
r designed for use during routine and em ergency
anagem ent. Uniquely suited for the SALAD technique.
R DuCanto Catheter is a new catheter that is unlike
Yankauer suction tips that are designed for controlled surgical
he SSCOR DuCanto Catheter was developed with both
d emergency airway management in mind. It has a larger
meter making it significantly less likely to clog and is shaped
opharyngeal anatomy. The hyper curved catheter is shaped
patient's airway making it easy to position the catheter and
other complementary devices used to clear a patient's airway.
t to general purpose rigid suction catheters based on the
design, this product is intended to serve as a simple and
ol to support routine and emergency airway management.”
uCanto, M.D.
y, the SSCOR DuCanto Catheter does not have a thumb port.
ng the vacuum control, the caregiver does not need to locate
heir thumb correctly positioned over the thumb port to clear a
rway and allows for continuous suction once connected to
source.
Request A Free QuoteRequest A Free Quote
Designed to fit the oropharyngeal anatomy.
Specifications:
Shaft diameter: .26” x .55” (6.6mm x 13.9mm)
Shaft length: 9.3” (236.22mm)
SSCOR Products Support & Services Com pany SSCOR Blog SSCOR SSPORTS! Shop SSCOR Products
3/SCOR DuCanto Catheter
6.6 mm Internal
diameter
SSCOR DuCanto Suction Catheter™
-Modified Hi-D with shape compatible for use with
both standard and hypercuved video laryngoscopes
-Vent hole removed
21. Learning & Practicing SALAD
• Modified airway
training mannequin
• Airway management
techniques taught in
the context of initial
and ongoing airway
decontamination
29. SALAD method for BLS
• SALAD Techniques applied to face mask
ventilation and extraglottic / supraglottic
airway use
• Can these techniques give us a safe solution to
continue face mask ventilation throughout the
traditionally apneic period of RSI?
30.
31. In Conclusion….Future Aspirations of
SALAD Project (Joke Intentional)
• Circulate awareness of the SALAD Method and
simulation world-wide to improve Emergency
Airway Management
• Investigate the ability of Extraglottic devices to
divert fluid away from the larynx and trachea
• Reduce the potential for airway contamination
to cause failure to rescue in airway
management
32. Solve the Challenge of Solid Airway
Contaminant—A Challenging Clinical
Phenomena
33. Fish
Man almost diesafter Dover solejumpsdown histhroat
12 Oct 2017, 3:43pm
Man almost dies after
Dover sole jumps down his
throat
Register (https://secure.telegraph.co.uk/secure/regist
sole-jumps-throat-whole%2F)
Subscribe (http://www.telegraph.co.uk/subscriptions
(http://w w w.telegraph.co.uk /)
› News
News
"
Man almost diesafter Dov
By Helena Horton, October 13 2017
34. Fisherman Sam Qulliam (right, holding the fish he swallowed) almost died when a six-inch
Dover sole he had just caught jumped down his throat. He admitted today that he was kissing
it. He was saved by paramedic Matt Harrison (pictured with him today)
35.
36.
37. Links
• SALAD 2.0 https://vimeo.com/215727227
• General Description of system and demonstration by Jeff Hill of the University of
Cincinnati’s EM Program: http://www.tamingthesru.com/blog/airway/puke-with-
jim-ducanto-md
• Product page of SALAD Mannequin, Nasco:
https://www.enasco.com/product/LF03500UG
• University of Wisconsin HEMS Fellow with the “Static” Excercise
https://vimeo.com/128728558
• University of Wisconsin HEMS Fellow with the “Dynamic” Excercise
https://vimeo.com/128728463
• University of Wisconsin HEMS Attending takes on the SALAD Simulator
• https://vimeo.com/121892461
• System construction—how to build your own SALAD training system
• http://airwaynautics.com/category/intubation/