The document discusses airway management techniques. It outlines an "airway hierarchy" ranging from non-invasive oxygen delivery devices to more invasive devices like endotracheal tubes. It describes several airway adjuncts and how to use them, including oropharyngeal airways, laryngeal mask airways, and endotracheal intubation. Potential complications of these devices are also summarized. The overall document provides guidance on establishing and securing a patient's airway during an emergency.
Airway management in the Emergency Department for TraineesBishan Rajapakse
This is a power point presentation on Airway Management given by our deputy director in Emergency Medicine Training at the Wollongong Hospital, Paul Labana (consultant Emergency Physician) that presents a case illustrating difficulties in airway management and gives an overview of airway management in the emergency department. (Nb another video to do with airway management, and "airway exchange" can be found on this link http://youtu.be/6vaWNknIDQg) - thanks to Paul for sharing his educational material in the name of free open access meducation (#FOAMed)
Airway management in the Emergency Department for TraineesBishan Rajapakse
This is a power point presentation on Airway Management given by our deputy director in Emergency Medicine Training at the Wollongong Hospital, Paul Labana (consultant Emergency Physician) that presents a case illustrating difficulties in airway management and gives an overview of airway management in the emergency department. (Nb another video to do with airway management, and "airway exchange" can be found on this link http://youtu.be/6vaWNknIDQg) - thanks to Paul for sharing his educational material in the name of free open access meducation (#FOAMed)
Airway management in maxillofacial traumaHASSAN RASHID
MAXILLOFACIAL TRAUMA PRESENT A UNIQUE AND DIFFICULT SCENARIO TO THE ANAESTHESIOLOGIST. SECURING AIRWAY IS AN INTEGRAL PART IN ITS MANAGEMENT.THIS SEMINAR DEALS WITH THE VARIOUS POINTS TO BE KEPT IN MIND WHILE ATTENDING PATIENTS WITH MAXILLOFACIAL TRAUMA
A tracheal tube is a catheter that is inserted into the trachea for the primary purpose of establishing and maintaining a patent airway and to ensure the adequate exchange of oxygen and carbon dioxide.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
2. Learning and Skills Objectives
• Describe the “airway hierarchy”
• Be able to use airway devices
• Understand the complications of these airway
devices
ALS Subcommittee 2010
5. Oxygen Delivering Devices
In breathing patients who can protect his airway,
conscious or unconscious
Nasal cannula Simple face mask
Venturi mask Mask with O2 reservoir 2010
ALS Subcommittee
7. Oropharyngeal or
Nasopharyngeal Airway
Only in unconscious patient to prevent the
tongue from falling back
Oropharyngeal airway Nasopharyngeal airway
ALS Subcommittee 2010
8. Oropharyngeal and
Nasopharyngeal Airway
in Correct Position
Oropharyngeal airway in Nasopharyngeal airway in
place in the mouth place in the nose
ALS Subcommittee 2010
13. Laryngeal Mask Airway (LMA)
The LMA - a SUPRAGLOTTIC airway that
consists of a tube with a cuffed mask-like
projection at distal end
ALS Subcommittee 2010
14. LMA - Indications
• When mask ventilation fails to achieve adequate
oxygenation
• As an adjunct to airway management by
personnel not skilled in tracheal intubation
• As an adjunct to airway management by
personnel skilled in tracheal intubation when
endotracheal intubation is difficult or not
successful ALS Subcommittee 2010
15. Insertion: Preparation
• Choose the appropriate size
• Recommended size guidelines:
– Size 1: < 5 kg
– Size 1.5: 5 - 10 kg
– Size 2: 10 - 20 kg
– Size 2.5: 20 - 30 kg
– Size 3: 30 - 50 kg
– Size 4: 50 – 70 kg
– Size 5: >70 kg
ALS Subcommittee 2010
19. CONTROL OF THE
AIRWAY WITH
ENDOTRACHEAL TUBE
IS USUALLY REGARDED AS THE
“GOLD STANDARD”
limited to trained and skilled personnel
ALS Subcommittee 2010
20. Endotracheal Intubation
Weigh benefit of intubation VS adverse effect of
interrupting chest compressions during
intubation
Intubation should be done by most experienced
person
Do not take longer than 30 seconds per attempt
ALS Subcommittee 2010
22. Aligning Axes of Upper Airway
Mouth
A
A B
B
C
C
Pharynx Trachea
Extend-the-head-on-neck (“look up”): aligns axis A relative to B
Flex-the-neck-on-shoulders (“look down”): aligns axis B relative to C
ALS Subcommittee 2010
23. Cricoid Pressure
Thyroid
Cartilage
Cricoid
ALS Subcommittee 2010
24. Visualization of Vocal Cords
Anatomy
Tongue
Vallecula
Epiglottis
Vocal
cord
Glottic Arytenoid
opening cartilage
ALS Subcommittee 2010
25. Endotracheal Intubation
Complications
• Hypoxia – the act of intubation is an hypoxic
event
• Trauma—teeth, lips, tongue, mucosa, vocal
cords, trachea
• Vomiting and aspiration
• Hypertension/hypotension and arrhythmias
ALS Subcommittee 2010
26. Confirmation of advanced
airway placement
• Colour
• Visible chest rise
• Vapour in ETT
• 5 points auscultation
• Capnography / CO2 detector devices
ALS Subcommittee 2010
27. THANK YOU
NATIONAL COMMITTEE ON RESUSCITATION TRAINING
SUBCOMMITEE FOR ADVANCED LIFE SUPPORT
Dr Tan Cheng Cheng
Dr Luah Lean Wah
Dr Ismail Tan bin Mohd Ali Tan
Dr Wan Nasrudin bin Wan Ismail
Dr Chong Yoon Sin
Dr Priya Gill
Dr Ridzuan bin Dato’ Mohd Isa
Dr Thohiroh binti Abdul Razak
Dr Adi bin Osman
ALS Subcommittee 2010