Airway Management.pptx
•Download as PPTX, PDF•
0 likes•25 views
This document discusses the anatomy of the upper and lower airways, causes and management of airway obstruction, airway assessment techniques, equipment for airway management, patient positioning, bag-mask ventilation, use of supraglottic airway devices like LMA, endotracheal intubation procedure, and extubation. It provides details on the nasal cavity, pharynx, trachea, bronchi, and lungs. Airway obstruction can be partial or complete and can occur anywhere in the respiratory tract, posing medical emergency if untreated. Causes include decreased muscle tone, blood, gastric contents, trauma, foreign bodies, and inflammation.
Report
Share
Report
Share
Recommended
Post operative care unit , anesthesia pacu
The document discusses the structure and contents of a crash cart in the post anesthesia care unit (PACU). It describes 5 drawers in the crash cart containing various medications, equipment, and supplies needed for emergencies. These include medications for cardiac arrest, intubation, hypotension and more. Equipment includes airways, catheters, surgical tools. Monitoring, oxygen supplies and suction are also available in the PACU. Post-operative patient evaluation assesses respiratory, cardiovascular and renal function among other things.
Airway Management.pptx
Airway management refers to the evaluation, planning and use of medical procedures and devices to maintain or restore ventilation of a patient. The main maneuvers used for opening the airway are head tilt-chin lift and jaw thrust. The correct size of oropharyngeal and nasopharyngeal airways is measured from anatomical landmarks - oropharyngeal airway size is measured from the tip of the mouth to the angle of the mandible, while nasopharyngeal airway size is measured from the tip of the nose to the tragus of the ear.
Clinical procedures
This document discusses various clinical procedures including oxygen therapy, central venous therapy, electrocardiography, and pulse oximetry. It provides details on the purpose, indications, delivery systems or principles, nurse responsibilities, documentation, and considerations for each procedure. Common procedures like administering oxygen via nasal cannula or mask, inserting central venous lines, performing electrocardiograms, and monitoring pulse oximetry are explained.
Prof. Romanowski Talk 10-13-23.pptx
This document provides an introduction to respiratory therapy, discussing oxygen therapy, lung expansion therapy, and intubation. It outlines the objectives of oxygen therapy, indications for its use, and types of low-flow oxygen delivery methods. Lung expansion therapy aims to increase lung volume and is demonstrated through incentive spirometry. Intubation establishes an artificial airway and is described through orotracheal intubation, involving assembling equipment, positioning the patient, visualizing the glottis, inserting the tube, and confirming proper placement. Hands-on demonstrations are provided for various respiratory therapy techniques.
Extubation presentation
This document discusses the criteria and process for extubating a patient from mechanical ventilation. It begins by defining extubation as the removal of the endotracheal tube, which should only be done once a patient no longer requires ventilation and can protect their airway. Specific criteria are provided for assessing a patient's readiness, including hemodynamic stability, adequate oxygenation, normal blood gases, resolution of underlying conditions, and intact neurological function. Potential complications are also reviewed. The process of extubation involves preparing equipment, explaining to the patient, continuously monitoring their condition, and carefully removing the tube while suctioning and assessing airway patency.
16959631.ppt
This document defines and describes various altitude illnesses including acute mountain sickness (AMS), high altitude cerebral edema (HACE), and high altitude pulmonary edema (HAPE). It lists signs and symptoms of each condition and outlines emergency care, situations requiring evacuation, and prevention techniques. Prevention focuses on gradual ascent, limiting exertion, descending for sleep, diet, and potential medications.
2 Airway Management.pptx
This document discusses airway management strategies and techniques. It begins by emphasizing the importance of early airway intervention for trauma patients. It then covers airway anatomy, initial airway assessment including signs of obstruction, supplemental oxygen options, and basic airway adjuncts like oropharyngeal airways. The document details techniques for bag valve mask ventilation and intubation, including indications for rapid sequence intubation. It also discusses surgical airways and adaptations for resource-limited settings that may have limited equipment. A case study is presented on management of a patient with facial trauma and low GCS.
Primary care in trauma
This document provides an overview of primary care in trauma. It discusses the primary and secondary surveys, with a focus on assessing and managing the ABCs - Airway, Breathing, and Circulation. For the airway, it describes techniques for opening and maintaining the airway as well as mechanical airway devices and surgical procedures. For breathing, it discusses signs of respiratory distress and management of pneumothorax, hemothorax, and flail chest. For circulation, it outlines assessing pulses, capillary refill, and skin signs to evaluate circulation and control hemorrhage. The goal is to accurately and systematically assess and address any immediate life threats.
Recommended
Post operative care unit , anesthesia pacu
The document discusses the structure and contents of a crash cart in the post anesthesia care unit (PACU). It describes 5 drawers in the crash cart containing various medications, equipment, and supplies needed for emergencies. These include medications for cardiac arrest, intubation, hypotension and more. Equipment includes airways, catheters, surgical tools. Monitoring, oxygen supplies and suction are also available in the PACU. Post-operative patient evaluation assesses respiratory, cardiovascular and renal function among other things.
Airway Management.pptx
Airway management refers to the evaluation, planning and use of medical procedures and devices to maintain or restore ventilation of a patient. The main maneuvers used for opening the airway are head tilt-chin lift and jaw thrust. The correct size of oropharyngeal and nasopharyngeal airways is measured from anatomical landmarks - oropharyngeal airway size is measured from the tip of the mouth to the angle of the mandible, while nasopharyngeal airway size is measured from the tip of the nose to the tragus of the ear.
Clinical procedures
This document discusses various clinical procedures including oxygen therapy, central venous therapy, electrocardiography, and pulse oximetry. It provides details on the purpose, indications, delivery systems or principles, nurse responsibilities, documentation, and considerations for each procedure. Common procedures like administering oxygen via nasal cannula or mask, inserting central venous lines, performing electrocardiograms, and monitoring pulse oximetry are explained.
Prof. Romanowski Talk 10-13-23.pptx
This document provides an introduction to respiratory therapy, discussing oxygen therapy, lung expansion therapy, and intubation. It outlines the objectives of oxygen therapy, indications for its use, and types of low-flow oxygen delivery methods. Lung expansion therapy aims to increase lung volume and is demonstrated through incentive spirometry. Intubation establishes an artificial airway and is described through orotracheal intubation, involving assembling equipment, positioning the patient, visualizing the glottis, inserting the tube, and confirming proper placement. Hands-on demonstrations are provided for various respiratory therapy techniques.
Extubation presentation
This document discusses the criteria and process for extubating a patient from mechanical ventilation. It begins by defining extubation as the removal of the endotracheal tube, which should only be done once a patient no longer requires ventilation and can protect their airway. Specific criteria are provided for assessing a patient's readiness, including hemodynamic stability, adequate oxygenation, normal blood gases, resolution of underlying conditions, and intact neurological function. Potential complications are also reviewed. The process of extubation involves preparing equipment, explaining to the patient, continuously monitoring their condition, and carefully removing the tube while suctioning and assessing airway patency.
16959631.ppt
This document defines and describes various altitude illnesses including acute mountain sickness (AMS), high altitude cerebral edema (HACE), and high altitude pulmonary edema (HAPE). It lists signs and symptoms of each condition and outlines emergency care, situations requiring evacuation, and prevention techniques. Prevention focuses on gradual ascent, limiting exertion, descending for sleep, diet, and potential medications.
2 Airway Management.pptx
This document discusses airway management strategies and techniques. It begins by emphasizing the importance of early airway intervention for trauma patients. It then covers airway anatomy, initial airway assessment including signs of obstruction, supplemental oxygen options, and basic airway adjuncts like oropharyngeal airways. The document details techniques for bag valve mask ventilation and intubation, including indications for rapid sequence intubation. It also discusses surgical airways and adaptations for resource-limited settings that may have limited equipment. A case study is presented on management of a patient with facial trauma and low GCS.
Primary care in trauma
This document provides an overview of primary care in trauma. It discusses the primary and secondary surveys, with a focus on assessing and managing the ABCs - Airway, Breathing, and Circulation. For the airway, it describes techniques for opening and maintaining the airway as well as mechanical airway devices and surgical procedures. For breathing, it discusses signs of respiratory distress and management of pneumothorax, hemothorax, and flail chest. For circulation, it outlines assessing pulses, capillary refill, and skin signs to evaluate circulation and control hemorrhage. The goal is to accurately and systematically assess and address any immediate life threats.
Airway management
This document discusses airway management and provides details on basic and advanced techniques. It begins with an introduction on basic airway management focusing on treatment and prevention techniques like removing foreign objects and positioning. It then describes advanced methods which rely on medical equipment and include supraglottic techniques using airways, infraglottic intubation, and surgical procedures like cricothyrotomy and tracheostomy. Complications of some techniques like cardiopulmonary resuscitation are also mentioned.
bec-trauma.pptx
This document provides an overview and objectives of a basic emergency care course on trauma. The course covers recognizing life-threatening injuries through a trauma primary survey using the ABCDE approach, which assesses airway, breathing, circulation, disability and exposure. It outlines essential skills like spinal immobilization, needle decompression for tension pneumothorax, and wound management. The document details the approach to trauma assessment, important conditions to recognize and manage, and gathering a SAMPLE history of signs/symptoms, allergies, medications, past medical history, last oral intake, and events surrounding the injury.
bec-trauma.pptx
This document provides an overview and objectives of a basic emergency care course on trauma. The course covers recognizing life-threatening injuries through a trauma primary survey using the ABCDE approach, which assesses airway, breathing, circulation, disability, and exposure. It outlines essential skills like spinal immobilization, needle decompression for tension pneumothorax, and wound management. The document details the approach to trauma, including taking a SAMPLE history and performing a secondary survey. It emphasizes managing critical conditions like airway obstruction, tension pneumothorax, and hypovolaemic shock that are identified during the primary survey.
Know how to thoracocentesis and thoracostomy tubes
This presentation is a part of a webinar held by vetspoke.com
for complete webinar please visit www.vetspoke.com
Chest tube insertion ppt (surgery)
This document provides information about chest tube insertion and care. It describes the indications for chest tubes including pneumothorax, hemothorax, and fluid drainage. It outlines the equipment, anatomy, procedure steps, post-procedure care, and potential complications of chest tube placement. The timing of chest tube removal depends on indication and imaging showing full lung re-expansion and cessation of fluid or air leaks.
AIRWAY AND VENTILATORY MANAGEMENT OF TRAUMA PATIENTS 1 -.pptx
- Airway and ventilatory management is critical in trauma patients to prevent hypoxia. Situations that can lead to airway compromise include head, neck, facial, and laryngeal trauma.
- Objective signs of airway obstruction or inadequate ventilation such as noisy breathing, hypoxia, and hypercarbia must be quickly recognized.
- Techniques for maintaining a patent airway include basic airway maneuvers, oropharyngeal/nasopharyngeal airways, and more advanced techniques like endotracheal intubation when needed. Cervical spine restriction is also important.
- Adequate oxygenation and ventilation must be continuously monitored and supported through oxygen supplementation, bag-mask ventilation,
Ecmo for nurses
This document provides an overview of extracorporeal membrane oxygenation (ECMO), including its history, modes, components, indications, contraindications, and complications. ECMO is an effective technique for providing emergency circulatory and respiratory support. It works by draining venous blood, oxygenating it through an artificial lung, and returning it to the circulation. There are two main modes - venoarterial (VA) ECMO which supports both heart and lung function, and venovenous (VV) ECMO which only supports lung function. Proper anticoagulation, volume management, and treatment of potential complications like bleeding, infection and circuit failures are important for safe ECMO management.
Chest Tube In-Service
This document provides information on chest tube management including indications, contraindications, supplies needed for insertion, sizing, positioning, insertion technique, complications, nursing role, documentation, drainage system components, safety, exercise, pain management, dressing changes, and signs to monitor and report. The goal of chest tube placement is to drain fluid or air from the pleural space and re-expand the lung. Nursing plays a key role in monitoring the patient and drainage system.
Spontaneous pneumothorax for general surgical residents
This document provides an overview of spontaneous pneumothorax, including its definition, classification, etiology, presentation, diagnosis, and treatment options. It discusses the anatomy of the lung and pleura, as well as causes of primary and secondary spontaneous pneumothorax. Treatment options covered include observation, needle aspiration, chest tube placement, pleurodesis, VATS, thoracotomy, and various surgical procedures. Special considerations for conditions like tension pneumothorax, pneumothorax during pregnancy, and pneumothorax associated with AIDS are also reviewed.
Pneumothorax : Cause and management
Encompasses the general overview of pneumothorax based on BTS and ACCP guidelines.
Useful for surgeons and MBBS students
Endotracheal tube
An endotracheal tube (ETT) is inserted into the trachea to provide a clear airway and facilitate ventilation during general anesthesia, respiratory failure, cardiac arrest, or unconsciousness. The ETT is properly sized and inserted using a laryngoscope to visualize the vocal cords. Placement is confirmed with end tidal CO2 monitoring, chest rise, breath sounds, and cuff palpation before securing. Complications include trauma, laryngeal injury, esophageal intubation, and perforation.
Power point airway management
This document discusses various airway management techniques including coughing, suctioning, artificial airways like oropharyngeal and nasopharyngeal tubes, endotracheal tubes, tracheostomy tubes, and alternative devices like LMAs and Combitubes. It provides details on the components of an effective cough, phases of suctioning, indications for different airway techniques, proper procedures, potential hazards, and equipment required.
04. Tracheostomy.pptx
- Tracheostomy is a surgical procedure that creates an opening in the neck to place a tube into the windpipe (trachea) to allow air to enter the lungs.
- There are different types depending on factors like whether it is temporary or permanent, the location on the trachea, and the cause.
- Indications include upper airway obstruction, need for pulmonary ventilation, pulmonary toilet, and some elective procedures.
- The procedure involves identifying landmarks, making an incision, opening the trachea, inserting a tracheostomy tube, and securing it. Complications can include bleeding, infection, and tracheal damage.
Air travel and lungs
Air travel can affect passengers with lung diseases due to the lower oxygen levels at cruising altitudes. The document discusses the effects of altitude on lung physiology and provides guidelines for assessing fitness to fly for patients with respiratory conditions like COPD, cystic fibrosis, lung cancer, and pneumothorax. Clinical tests like walk tests, hypoxic challenge tests, and equations can predict the risk of hypoxemia during flights. Advice is given on managing specific lung conditions during air travel, including the use of supplemental oxygen and medications.
Respiratory diagnostic studies and nursing responsibilities
The document provides an overview of the respiratory system including its structure, functions, common disorders, diagnostic tests, and nursing responsibilities. It describes the respiratory system's role in gas exchange and acid-base balance. Key diagnostic tests covered include pulmonary function tests, arterial blood gas analysis, pulse oximetry, sputum culture, imaging studies like chest X-ray and CT, and procedures like bronchoscopy and thoracentesis. Nursing care is discussed for each test and procedure.
Bariatric surgery
This document discusses anesthetic considerations for bariatric surgery patients. It outlines the importance of preoperative evaluation of cardiopulmonary function and comorbidities. Special challenges include difficult airway management due to excess soft tissue, appropriate patient positioning, and monitoring challenges. Intraoperatively, ventilating obese patients requires higher tidal volumes and oxygen levels. Postoperatively, risks include respiratory failure and regional anesthesia can help provide analgesia while reducing postoperative complications.
4_5877539281446111011.pptx
This document provides information on airway management for patients with suspected or confirmed COVID-19. It begins with objectives of describing basic airway procedures, equipment, and challenges. The outline covers anatomy, maneuvers, equipment, difficult airway evaluation and management, special considerations for COVID-19, and mechanical ventilator components. Key points emphasized are following proper PPE protocols, utilizing rapid sequence intubation with sedation and paralysis, and being prepared for difficult airway scenarios with backup equipment and plans for surgical airway if needed. Mechanical ventilator components discussed include power source, controls, monitors, safety features, and specifics like gas mixers, filters, and alarms.
Anesthesia for laryngectomy
Laryngectomy involves removing the larynx and parts of the trachea for laryngeal cancer. It requires a team approach and optimizing cardiac, respiratory, and nutritional status preoperatively. The procedure involves creating a permanent tracheostomy and repairing the pharynx. Postoperatively, careful monitoring of the airway, ventilation, nutrition, and rehabilitation is needed.
Ventilator in Critical Care
This document provides an overview of mechanical ventilation including its history, types of ventilators, modes of ventilation, indications, complications, ventilator settings for specific diseases, weaning methods, and newer methods. It discusses positive pressure ventilation and various modes like CMV, A/C, IMV, SIMV, and PSV. Complications of mechanical ventilation include barotrauma, volutrauma, VAP, and oxygen toxicity. Optimizing ventilator settings can reduce organ failure and duration of ventilation. Non-invasive ventilation has increased and facilitates weaning. Newer modes continue to be developed to improve ventilation support.
Diaphragmatic hernia
1) A diaphragmatic hernia is a defect in the diaphragm allowing contents from the abdomen to protrude into the chest cavity.
2) Congenital diaphragmatic hernias are the most common type and occur during fetal development when the diaphragm fails to fully form.
3) Infants present with respiratory distress and treatment involves aggressive respiratory support, surgical repair of the defect, and long term management of complications which can include GERD and intestinal issues.
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The Electrocardiogram - Physiologic Principles
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
More Related Content
Similar to Airway Management.pptx
Airway management
This document discusses airway management and provides details on basic and advanced techniques. It begins with an introduction on basic airway management focusing on treatment and prevention techniques like removing foreign objects and positioning. It then describes advanced methods which rely on medical equipment and include supraglottic techniques using airways, infraglottic intubation, and surgical procedures like cricothyrotomy and tracheostomy. Complications of some techniques like cardiopulmonary resuscitation are also mentioned.
bec-trauma.pptx
This document provides an overview and objectives of a basic emergency care course on trauma. The course covers recognizing life-threatening injuries through a trauma primary survey using the ABCDE approach, which assesses airway, breathing, circulation, disability and exposure. It outlines essential skills like spinal immobilization, needle decompression for tension pneumothorax, and wound management. The document details the approach to trauma assessment, important conditions to recognize and manage, and gathering a SAMPLE history of signs/symptoms, allergies, medications, past medical history, last oral intake, and events surrounding the injury.
bec-trauma.pptx
This document provides an overview and objectives of a basic emergency care course on trauma. The course covers recognizing life-threatening injuries through a trauma primary survey using the ABCDE approach, which assesses airway, breathing, circulation, disability, and exposure. It outlines essential skills like spinal immobilization, needle decompression for tension pneumothorax, and wound management. The document details the approach to trauma, including taking a SAMPLE history and performing a secondary survey. It emphasizes managing critical conditions like airway obstruction, tension pneumothorax, and hypovolaemic shock that are identified during the primary survey.
Know how to thoracocentesis and thoracostomy tubes
This presentation is a part of a webinar held by vetspoke.com
for complete webinar please visit www.vetspoke.com
Chest tube insertion ppt (surgery)
This document provides information about chest tube insertion and care. It describes the indications for chest tubes including pneumothorax, hemothorax, and fluid drainage. It outlines the equipment, anatomy, procedure steps, post-procedure care, and potential complications of chest tube placement. The timing of chest tube removal depends on indication and imaging showing full lung re-expansion and cessation of fluid or air leaks.
AIRWAY AND VENTILATORY MANAGEMENT OF TRAUMA PATIENTS 1 -.pptx
- Airway and ventilatory management is critical in trauma patients to prevent hypoxia. Situations that can lead to airway compromise include head, neck, facial, and laryngeal trauma.
- Objective signs of airway obstruction or inadequate ventilation such as noisy breathing, hypoxia, and hypercarbia must be quickly recognized.
- Techniques for maintaining a patent airway include basic airway maneuvers, oropharyngeal/nasopharyngeal airways, and more advanced techniques like endotracheal intubation when needed. Cervical spine restriction is also important.
- Adequate oxygenation and ventilation must be continuously monitored and supported through oxygen supplementation, bag-mask ventilation,
Ecmo for nurses
This document provides an overview of extracorporeal membrane oxygenation (ECMO), including its history, modes, components, indications, contraindications, and complications. ECMO is an effective technique for providing emergency circulatory and respiratory support. It works by draining venous blood, oxygenating it through an artificial lung, and returning it to the circulation. There are two main modes - venoarterial (VA) ECMO which supports both heart and lung function, and venovenous (VV) ECMO which only supports lung function. Proper anticoagulation, volume management, and treatment of potential complications like bleeding, infection and circuit failures are important for safe ECMO management.
Chest Tube In-Service
This document provides information on chest tube management including indications, contraindications, supplies needed for insertion, sizing, positioning, insertion technique, complications, nursing role, documentation, drainage system components, safety, exercise, pain management, dressing changes, and signs to monitor and report. The goal of chest tube placement is to drain fluid or air from the pleural space and re-expand the lung. Nursing plays a key role in monitoring the patient and drainage system.
Spontaneous pneumothorax for general surgical residents
This document provides an overview of spontaneous pneumothorax, including its definition, classification, etiology, presentation, diagnosis, and treatment options. It discusses the anatomy of the lung and pleura, as well as causes of primary and secondary spontaneous pneumothorax. Treatment options covered include observation, needle aspiration, chest tube placement, pleurodesis, VATS, thoracotomy, and various surgical procedures. Special considerations for conditions like tension pneumothorax, pneumothorax during pregnancy, and pneumothorax associated with AIDS are also reviewed.
Pneumothorax : Cause and management
Encompasses the general overview of pneumothorax based on BTS and ACCP guidelines.
Useful for surgeons and MBBS students
Endotracheal tube
An endotracheal tube (ETT) is inserted into the trachea to provide a clear airway and facilitate ventilation during general anesthesia, respiratory failure, cardiac arrest, or unconsciousness. The ETT is properly sized and inserted using a laryngoscope to visualize the vocal cords. Placement is confirmed with end tidal CO2 monitoring, chest rise, breath sounds, and cuff palpation before securing. Complications include trauma, laryngeal injury, esophageal intubation, and perforation.
Power point airway management
This document discusses various airway management techniques including coughing, suctioning, artificial airways like oropharyngeal and nasopharyngeal tubes, endotracheal tubes, tracheostomy tubes, and alternative devices like LMAs and Combitubes. It provides details on the components of an effective cough, phases of suctioning, indications for different airway techniques, proper procedures, potential hazards, and equipment required.
04. Tracheostomy.pptx
- Tracheostomy is a surgical procedure that creates an opening in the neck to place a tube into the windpipe (trachea) to allow air to enter the lungs.
- There are different types depending on factors like whether it is temporary or permanent, the location on the trachea, and the cause.
- Indications include upper airway obstruction, need for pulmonary ventilation, pulmonary toilet, and some elective procedures.
- The procedure involves identifying landmarks, making an incision, opening the trachea, inserting a tracheostomy tube, and securing it. Complications can include bleeding, infection, and tracheal damage.
Air travel and lungs
Air travel can affect passengers with lung diseases due to the lower oxygen levels at cruising altitudes. The document discusses the effects of altitude on lung physiology and provides guidelines for assessing fitness to fly for patients with respiratory conditions like COPD, cystic fibrosis, lung cancer, and pneumothorax. Clinical tests like walk tests, hypoxic challenge tests, and equations can predict the risk of hypoxemia during flights. Advice is given on managing specific lung conditions during air travel, including the use of supplemental oxygen and medications.
Respiratory diagnostic studies and nursing responsibilities
The document provides an overview of the respiratory system including its structure, functions, common disorders, diagnostic tests, and nursing responsibilities. It describes the respiratory system's role in gas exchange and acid-base balance. Key diagnostic tests covered include pulmonary function tests, arterial blood gas analysis, pulse oximetry, sputum culture, imaging studies like chest X-ray and CT, and procedures like bronchoscopy and thoracentesis. Nursing care is discussed for each test and procedure.
Bariatric surgery
This document discusses anesthetic considerations for bariatric surgery patients. It outlines the importance of preoperative evaluation of cardiopulmonary function and comorbidities. Special challenges include difficult airway management due to excess soft tissue, appropriate patient positioning, and monitoring challenges. Intraoperatively, ventilating obese patients requires higher tidal volumes and oxygen levels. Postoperatively, risks include respiratory failure and regional anesthesia can help provide analgesia while reducing postoperative complications.
4_5877539281446111011.pptx
This document provides information on airway management for patients with suspected or confirmed COVID-19. It begins with objectives of describing basic airway procedures, equipment, and challenges. The outline covers anatomy, maneuvers, equipment, difficult airway evaluation and management, special considerations for COVID-19, and mechanical ventilator components. Key points emphasized are following proper PPE protocols, utilizing rapid sequence intubation with sedation and paralysis, and being prepared for difficult airway scenarios with backup equipment and plans for surgical airway if needed. Mechanical ventilator components discussed include power source, controls, monitors, safety features, and specifics like gas mixers, filters, and alarms.
Anesthesia for laryngectomy
Laryngectomy involves removing the larynx and parts of the trachea for laryngeal cancer. It requires a team approach and optimizing cardiac, respiratory, and nutritional status preoperatively. The procedure involves creating a permanent tracheostomy and repairing the pharynx. Postoperatively, careful monitoring of the airway, ventilation, nutrition, and rehabilitation is needed.
Ventilator in Critical Care
This document provides an overview of mechanical ventilation including its history, types of ventilators, modes of ventilation, indications, complications, ventilator settings for specific diseases, weaning methods, and newer methods. It discusses positive pressure ventilation and various modes like CMV, A/C, IMV, SIMV, and PSV. Complications of mechanical ventilation include barotrauma, volutrauma, VAP, and oxygen toxicity. Optimizing ventilator settings can reduce organ failure and duration of ventilation. Non-invasive ventilation has increased and facilitates weaning. Newer modes continue to be developed to improve ventilation support.
Diaphragmatic hernia
1) A diaphragmatic hernia is a defect in the diaphragm allowing contents from the abdomen to protrude into the chest cavity.
2) Congenital diaphragmatic hernias are the most common type and occur during fetal development when the diaphragm fails to fully form.
3) Infants present with respiratory distress and treatment involves aggressive respiratory support, surgical repair of the defect, and long term management of complications which can include GERD and intestinal issues.
Similar to Airway Management.pptx (20)
Know how to thoracocentesis and thoracostomy tubes
Know how to thoracocentesis and thoracostomy tubes
AIRWAY AND VENTILATORY MANAGEMENT OF TRAUMA PATIENTS 1 -.pptx
AIRWAY AND VENTILATORY MANAGEMENT OF TRAUMA PATIENTS 1 -.pptx
Spontaneous pneumothorax for general surgical residents
Spontaneous pneumothorax for general surgical residents
Respiratory diagnostic studies and nursing responsibilities
Respiratory diagnostic studies and nursing responsibilities
Recently uploaded
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The Electrocardiogram - Physiologic Principles
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
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
This document outlines policies and procedures for handling narcotic and controlled drugs in NABH accredited hospitals.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
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!
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.The Nervous and Chemical Regulation of Respiration
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Hiranandani Hospital Powai News [Read Now].pdf
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Histololgy of Female Reproductive System.pptx
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.
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
Recently uploaded (20)
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Airway Management.pptx
- 2. UPPER AIRWAY • NASAL CAVITY • ORAL CAVITY • PHARYNX
- 3. LOWER AIRWAY • TRCHEA • BRONCHI • ALVEOLI • LUNG PARENCHYMA • PLURA •
- 4. AIRWAY OBSTRUCTION • Obstruction of the Airway is a Medical Emergency. • It may be partial or complete and may occur at any level of the Respiratory tract. • If untreated Airway obstruction leads to a Lowered Blood Oxygen tension and Risk Hypoxic Damage to the Brain, Kidneys and Heart or Even Death.
- 5. CAUSES OF AIRWAY OBSTRUCTION • Decreased Muscle Tone • Blood • Regurgitation of Stomach Contents • Trauma’ • Foreign Bodies • Edema • Inflammation • Excessive Bronchial Secretitions • Mucosal Edema • Broncho Spasm • Aspiration of Gastric Contents
- 7. AIRWAY MANAGEMENT IN OPERATION THEATRE • Pre-Anesthetic Airway Assessment • Preparation & Equipment Test • Patient Positioning • Pre-Oxygenation • Bag & Mask Ventilation • Intubation or Placement of a Laryngeal Mask Airway • Confirmation of Proper Tube or Airway Placement • Extubation
- 8. AIRWAY ASSESSMENT • Mouth Opening: An incisor distance of 3 cm or greater is desirable. • Malampati Classification: • Thyromental Distance: Distance between the Chin and Superior Thyroid Notch > 3 Finger Breadth is desirable. • Neck Cirumference: Greater the 17” = Difficult Intubation.
- 9. EQUIPMENT • An Oxygen Source • Bag & Mask • Laryngoscopes • ETTs with available Stylets & Bougies • Other Airway Devices (Oral, Nasal & Supra Glottic Airways) • Suction • Pulse Oximeter and CO2 Detection • Stethoscope • Tape • BP and ECG Monitors • Flexible Fiber Optic Bronchoscope-When Difficult Intubation is Anticipated
- 10. POSITIONING • SNIFFING POSITION • Patients with Morbid Obesity should be positioned on a 30 Degree Upward Ramp
- 11. BAG & MASK VENTILATIONS Effective Mask Ventilation Requires: • Tight Mask Fit • Patent Airway 1. ONE HANDED MASK VENTILATION 2. TWO HANDED MASK VENTILATION
- 12. SUPRAGLOTTIC AIRWAY DEVICES • Laryngeal Mask Airway (LMA) • Esophageal-Tracheal Combi Tube • King Laryngeal Tube
- 13. LMA
- 15. ENDOTRACHEAL INTUBATION • Hyper Ventilate the patient • Prepare Equipment • Apply Sellick’s Maneuver (Cricoid Pressure) & Insert Laryngoscope • Visualize Larynx & Insert ETT • Glottis Visualized through Laryngoscopy • Inflate CUFF, Ventilate & Auscultate • Confirm Placement with an ETCO2 Detector • Secure Tube • Reconfirm ETT Placement
- 16. ETT
- 18. EXTUBATION When the patient is Deeply Anesthetized or awake, the patient’s Pharynx should be thoroughly suctioned before Extubation to decrease the potential for Aspiration of blood & secretions. The ETT is Untaped and CUFF is Deflated and the Tube is withdrawn in a single smooth motion and a Face Mask is applied to deliver Oxygen.