Anesthesia Complication.pptx
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This document from Indiana University Oral and Maxillofacial Surgery discusses the treatment of aspiration and laryngospasm during peri-operative procedures. It recommends intubating patients who cannot ventilate adequately after aspiration and administering high concentrations of oxygen. For laryngospasm, it advises using 100% oxygen, suctioning the surgical site, drawing the tongue and jaw forward, depressing the chest, providing positive pressure with a bag mask, and potentially deepening anesthesia with propofol or administering succinylcholine.
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- Explain the unique characteristics of the pediatric respiratory system.
- Discuss how these differences impact the care of ventilated children.
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- Enumerate common medical conditions necessitating ventilator support in children.
- Emphasize the importance of early recognition and intervention.
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- Describe the various types of ventilators used in pediatric care.
- Highlight their features and functionalities.
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- Explain the key ventilator settings and modes relevant to pediatric patients.
- Provide practical insights into their adjustment and monitoring.
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- Outline the comprehensive nursing assessment required for children on ventilators.
- Discuss the importance of monitoring vital signs and respiratory parameters.
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- Address common issues and complications that may arise during ventilation.
- Offer guidance on troubleshooting and appropriate nursing interventions.
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- Discuss the significance of infection prevention in ventilated pediatric patients.
- Share best practices for minimizing the risk of VAP.
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- Stress the importance of involving families in the care process.
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- Present real-life case studies and clinical scenarios to enhance practical understanding.
- Encourage active participation and problem-solving among students.
Slide 11: Nursing Responsibilities and Ethical Considerations
- Detail the ethical considerations surrounding pediatric ventilation care.
- Highlight the responsibilities of nurses in advocating for their young patients.
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- Summarize key takeaways from the presentation.
- Provide references and resources for further learning.
Slide 13: Q&A
- Open the floor for questions and discussions.
- Foster an interactive learning environment.
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- Express gratitude for the audience's participation.
- Provide contact information for further inquiries.
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It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
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Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
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- 1. INDIANA UNIVERSITY ORAL AND MAXILLOFACIAL SURGERY Peri-Operative Emesis and Aspiration
- 2. INDIANA UNIVERSITY ORAL AND MAXILLOFACIAL SURGERY Emesis and Aspiration of Foreign Material Treatment for significant aspiration •Intubate patient if not ventilating adequately and oxygenate patient as soon as possible •Tracehobronchial lavage, steroid therapy, or prophylactic antibiotics are not usually indicated
- 3. INDIANA UNIVERSITY ORAL AND MAXILLOFACIAL SURGERY Laryngospasm • Upper Airway • Protective reflex • Inspiratory Crowing, stridor
- 4. INDIANA UNIVERSITY ORAL AND MAXILLOFACIAL SURGERY • Management • 100% FiO2 • Suction, pack surgical site • Tongue/jaw drawn forward • Depress patient chest • Bag Mask Positive Pressure • Deepen anesthetic .5mg/kg of propofol • .5mg/kg succinylcholine Laryngospasm
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Editor's Notes
- At the time of intubation you can use mcgill forceps to remove any solid particles Because respiratory mucosal damage after aspiration occurs within seconds and bronchial secretions neutralize the aspirated acid within minutes, tracheobronchial lavage is not performed except for small volumes (5-10 ml) of saline to facilitate suction. • Intravenous steroid therapy generally is not indicated. • The use of prophylactic antibiotics is not indicated unless purulent material is aspirated. Antibiotics should be reserved for use in secondary infections.
- It might be convenient to have two syringes of succinylcholine, one containing 20 mg and the other containing 40 mg, on an emergency tray for use in treating laryngospasm.