SlideShare a Scribd company logo
1 of 108
The Critical Airway: RSI & Failed Intubation
Andrew J. Bowman ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disclaimer ,[object Object]
Every Single Training Program
AIRWAY COMES FIRST!!!!! ,[object Object],[object Object]
Attempts to Intubate ,[object Object],[object Object]
Overview ,[object Object],[object Object],[object Object],[object Object]
What is RSI? ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Who Needs RSI? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Why RSI? ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
When  NOT  to RSI ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
When  NOT  to RSI ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Cautious Use of RSI ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
The 10 “P’s” of RSI Copyright  © 2007 ENA
The 10 “P’s” of RSI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Preparation ,[object Object],[object Object],Copyright  © 2007 ENA
Preparation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Difficult ETT Prediction ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
LEMON ,[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Look Externally ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Evaluate Internally ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
3-3-2 Copyright  © 2007 ENA
Mallampati Copyright  © 2007 ENA
Obstruction ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Neck Mobility ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Difficult BVM Prediction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Difficult Surgical Airway Prediction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Pre-Oxygenation ,[object Object],Copyright  © 2007 ENA
Pre-Oxygenation ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Time to Desaturation Copyright  © 2007 ENA
Pre-Treatment ,[object Object],[object Object],Copyright  © 2007 ENA
“ LOAD” ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Lidocaine ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Lidocaine ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Lidocaine ,[object Object],Copyright  © 2007 ENA
Opiates ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Atropine ,[object Object],[object Object],Copyright  © 2007 ENA
Atropine ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Defasciculating Agents ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Pre-Treatment Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Pre-Treatment Summary ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Pre-Treatment Summary Copyright  © 2007 ENA
Put to Sleep ,[object Object],[object Object],Copyright  © 2007 ENA
Induction Agents ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Etomidate ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Etomidate ,[object Object],[object Object],Copyright  © 2007 ENA
Ketamine ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Ketamine ,[object Object],[object Object],Copyright  © 2007 ENA
Propofol ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Midazolam ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Paralyze ,[object Object],[object Object],Copyright  © 2007 ENA
Paralyze ,[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Succinylcholine ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Rocuronium ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Vecuronium ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Drug & Weight Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Positioning ,[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Trauma Copyright  © 2007 ENA
Trauma Copyright  © 2007 ENA
No Trauma Copyright  © 2007 ENA
Protection ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Protection ,[object Object],Copyright  © 2007 ENA
Position & Protection ,[object Object],Copyright  © 2007 ENA
Placement ,[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Proof ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Primary Methods ,[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Secondary Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
End Tidal CO2 (EtCO2) ,[object Object],[object Object],Copyright  © 2007 ENA
Aspiration of Air Copyright  © 2007 ENA
Chest X-Ray Copyright  © 2007 ENA
Post-Intubation Management ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Post-Intubation Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Failed Intubation Copyright  © 2007 ENA
Failed Intubation ,[object Object],[object Object],Copyright  © 2007 ENA
Can Ventilate ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Alternative Airway ,[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Cannot Ventilate ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Rescue Airway Devices and Alternative Methods for Intubation or Airway Acquisition Copyright  © 2007 ENA
Alternative Airways ,[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Fiberoptic ,[object Object],[object Object],Copyright  © 2007 ENA
Flexible Fiberoptic Copyright  © 2007 ENA
Fiberoptic Stylets & Guides ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Shikani Copyright  © 2007 ENA
Levitan Copyright  © 2007 ENA
Airway RIFL Copyright  © 2007 ENA
Video Laryngoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Glidescope Copyright  © 2007 ENA
C-MAC Video Laryngoscope Copyright  © 2007 ENA
McGrath Video Laryngoscope Copyright  © 2007 ENA
Pentax Airway Scope Copyright  © 2007 ENA
Res-Q-Scope II Copyright  © 2007 ENA
Extra-Glottic Devices ,[object Object],[object Object],[object Object],Copyright  © 2007 ENA
Combitube Copyright  © 2007 ENA
Combitube Copyright  © 2007 ENA
King LT Airway Copyright  © 2007 ENA
LMA Copyright  © 2007 ENA
LMA Copyright  © 2007 ENA
Bougie Copyright  © 2007 ENA
Bougie Copyright  © 2007 ENA
? Best in Trauma ? ,[object Object],Copyright  © 2007 ENA
Surgical Airway ,[object Object],Copyright  © 2007 ENA
Summary Copyright  © 2007 ENA
[object Object],[object Object],[object Object],Copyright  © 2007 ENA
[object Object],[object Object],Copyright  © 2007 ENA
[object Object],Copyright  © 2007 ENA
QUESTIONS? Copyright  © 2007 ENA
Thank You! Copyright  © 2007 ENA

More Related Content

What's hot (20)

Airway
AirwayAirway
Airway
 
Airway
AirwayAirway
Airway
 
Airway management- INTUBATION.pptx
Airway management- INTUBATION.pptxAirway management- INTUBATION.pptx
Airway management- INTUBATION.pptx
 
2014 11-16 new articles on emergency airway management eacem20014
2014 11-16 new articles on emergency airway management eacem200142014 11-16 new articles on emergency airway management eacem20014
2014 11-16 new articles on emergency airway management eacem20014
 
Anything New In The Airway Managment
Anything New In The Airway ManagmentAnything New In The Airway Managment
Anything New In The Airway Managment
 
Airway management
Airway managementAirway management
Airway management
 
Airway management final
Airway management finalAirway management final
Airway management final
 
Air way mana ص
Air way mana صAir way mana ص
Air way mana ص
 
Extubation problems and its management
Extubation problems and its managementExtubation problems and its management
Extubation problems and its management
 
Airway management part 2
Airway management part 2Airway management part 2
Airway management part 2
 
Intubation Review
Intubation ReviewIntubation Review
Intubation Review
 
Airway management
Airway management Airway management
Airway management
 
Advanced Airway Management
Advanced Airway ManagementAdvanced Airway Management
Advanced Airway Management
 
MELLSS Airway adjunct and difficult airway
MELLSS Airway adjunct and difficult airway MELLSS Airway adjunct and difficult airway
MELLSS Airway adjunct and difficult airway
 
Emt management of airway and breathing
Emt management of airway and breathingEmt management of airway and breathing
Emt management of airway and breathing
 
Airway management
Airway managementAirway management
Airway management
 
Advanced airway
Advanced airwayAdvanced airway
Advanced airway
 
Intubation_Presentation_20150119
Intubation_Presentation_20150119Intubation_Presentation_20150119
Intubation_Presentation_20150119
 
Airway Management
Airway ManagementAirway Management
Airway Management
 
Airway management
Airway managementAirway management
Airway management
 

Similar to Indiana ENA 2010 RSI And Difficult Intubation

Tracheal sugeries
Tracheal sugeriesTracheal sugeries
Tracheal sugeriesRojaAp
 
niv-121110032232-phpapp01_2
niv-121110032232-phpapp01_2niv-121110032232-phpapp01_2
niv-121110032232-phpapp01_2Manish Masih
 
Procedural Sedation
Procedural SedationProcedural Sedation
Procedural SedationSCGH ED CME
 
Anaesthesia in ophthalmology By Dr Sardar Saud Abbas
Anaesthesia in ophthalmology By Dr Sardar Saud AbbasAnaesthesia in ophthalmology By Dr Sardar Saud Abbas
Anaesthesia in ophthalmology By Dr Sardar Saud AbbasKhyber Teaching hospital
 
Settings Use and Maintenance of Mechanical Ventilator
Settings Use and Maintenance of Mechanical VentilatorSettings Use and Maintenance of Mechanical Ventilator
Settings Use and Maintenance of Mechanical VentilatorSurendran Radjou
 
Rapid sequence intubation
Rapid sequence intubationRapid sequence intubation
Rapid sequence intubationUmmay Sumaiya
 
Rsi 01242017 dl2 kevin update
Rsi 01242017 dl2 kevin updateRsi 01242017 dl2 kevin update
Rsi 01242017 dl2 kevin updatebrileyk
 
Icu Emergency Airway Management
Icu Emergency Airway ManagementIcu Emergency Airway Management
Icu Emergency Airway ManagementAndrew Ferguson
 
rapidsequenceintubation-160123162517.pdf
rapidsequenceintubation-160123162517.pdfrapidsequenceintubation-160123162517.pdf
rapidsequenceintubation-160123162517.pdfdhanu gaysonsiri
 
Rapid sequence intubation
Rapid sequence intubationRapid sequence intubation
Rapid sequence intubationMurtaza Rashid
 
Pediatric Airways Management
Pediatric Airways ManagementPediatric Airways Management
Pediatric Airways ManagementDang Thanh Tuan
 
Critical illness airway management
Critical illness airway managementCritical illness airway management
Critical illness airway managementArun Radhakrishnan
 
SEMS 2014: Ang Shiang Hu - Life threatening asthma
SEMS 2014: Ang Shiang Hu - Life threatening asthma SEMS 2014: Ang Shiang Hu - Life threatening asthma
SEMS 2014: Ang Shiang Hu - Life threatening asthma Rahul Goswami
 
Asma al ejercicio turcios
Asma al ejercicio  turciosAsma al ejercicio  turcios
Asma al ejercicio turciosrosalp
 
Procedural Sedation
Procedural SedationProcedural Sedation
Procedural SedationSCGH ED CME
 

Similar to Indiana ENA 2010 RSI And Difficult Intubation (20)

Tracheal sugeries
Tracheal sugeriesTracheal sugeries
Tracheal sugeries
 
niv-121110032232-phpapp01_2
niv-121110032232-phpapp01_2niv-121110032232-phpapp01_2
niv-121110032232-phpapp01_2
 
Procedural Sedation
Procedural SedationProcedural Sedation
Procedural Sedation
 
Advanced airway
Advanced airwayAdvanced airway
Advanced airway
 
Nippv
NippvNippv
Nippv
 
Anaesthesia in ophthalmology By Dr Sardar Saud Abbas
Anaesthesia in ophthalmology By Dr Sardar Saud AbbasAnaesthesia in ophthalmology By Dr Sardar Saud Abbas
Anaesthesia in ophthalmology By Dr Sardar Saud Abbas
 
Settings Use and Maintenance of Mechanical Ventilator
Settings Use and Maintenance of Mechanical VentilatorSettings Use and Maintenance of Mechanical Ventilator
Settings Use and Maintenance of Mechanical Ventilator
 
Rapid sequence intubation
Rapid sequence intubationRapid sequence intubation
Rapid sequence intubation
 
Rsi 01242017 dl2 kevin update
Rsi 01242017 dl2 kevin updateRsi 01242017 dl2 kevin update
Rsi 01242017 dl2 kevin update
 
Icu Emergency Airway Management
Icu Emergency Airway ManagementIcu Emergency Airway Management
Icu Emergency Airway Management
 
Common anesthetic pitfalls in ER
Common anesthetic pitfalls in ERCommon anesthetic pitfalls in ER
Common anesthetic pitfalls in ER
 
Niv $ rf copy
Niv $ rf   copyNiv $ rf   copy
Niv $ rf copy
 
rapidsequenceintubation-160123162517.pdf
rapidsequenceintubation-160123162517.pdfrapidsequenceintubation-160123162517.pdf
rapidsequenceintubation-160123162517.pdf
 
Rapid sequence intubation
Rapid sequence intubationRapid sequence intubation
Rapid sequence intubation
 
Pediatric Airways Management
Pediatric Airways ManagementPediatric Airways Management
Pediatric Airways Management
 
Critical illness airway management
Critical illness airway managementCritical illness airway management
Critical illness airway management
 
SEMS 2014: Ang Shiang Hu - Life threatening asthma
SEMS 2014: Ang Shiang Hu - Life threatening asthma SEMS 2014: Ang Shiang Hu - Life threatening asthma
SEMS 2014: Ang Shiang Hu - Life threatening asthma
 
Asma al ejercicio turcios
Asma al ejercicio  turciosAsma al ejercicio  turcios
Asma al ejercicio turcios
 
Non Invasive Ventilation
Non Invasive VentilationNon Invasive Ventilation
Non Invasive Ventilation
 
Procedural Sedation
Procedural SedationProcedural Sedation
Procedural Sedation
 

Indiana ENA 2010 RSI And Difficult Intubation

Editor's Notes

  1. Slide 1 Note to Faculty : Information that is italicized in this outline indicates points that should be discussed with the Instructor Candidates. This lecture will be most effective if experiences with teaching are shared.
  2. Slide 2 Discuss the principles of adult learning. Discuss methods of teaching TNCC Provider course chapters to include: Preparing and presenting the chapters. Individualizing the content. Controlling difficult situations. Discuss methods for teaching TNCC Provider course psychomotor skill stations to include: Preparing and conducting the situations. Controlling difficult situations.
  3. Slide 2 Discuss the principles of adult learning. Discuss methods of teaching TNCC Provider course chapters to include: Preparing and presenting the chapters. Individualizing the content. Controlling difficult situations. Discuss methods for teaching TNCC Provider course psychomotor skill stations to include: Preparing and conducting the situations. Controlling difficult situations.
  4. Slide 1 Note to Faculty : Information that is italicized in this outline indicates points that should be discussed with the Instructor Candidates. This lecture will be most effective if experiences with teaching are shared.
  5. Slide 2 Discuss the principles of adult learning. Discuss methods of teaching TNCC Provider course chapters to include: Preparing and presenting the chapters. Individualizing the content. Controlling difficult situations. Discuss methods for teaching TNCC Provider course psychomotor skill stations to include: Preparing and conducting the situations. Controlling difficult situations.
  6. Slide 2 Discuss the principles of adult learning. Discuss methods of teaching TNCC Provider course chapters to include: Preparing and presenting the chapters. Individualizing the content. Controlling difficult situations. Discuss methods for teaching TNCC Provider course psychomotor skill stations to include: Preparing and conducting the situations. Controlling difficult situations.
  7. Slide 1 Note to Faculty : Information that is italicized in this outline indicates points that should be discussed with the Instructor Candidates. This lecture will be most effective if experiences with teaching are shared.
  8. Slide 2 Discuss the principles of adult learning. Discuss methods of teaching TNCC Provider course chapters to include: Preparing and presenting the chapters. Individualizing the content. Controlling difficult situations. Discuss methods for teaching TNCC Provider course psychomotor skill stations to include: Preparing and conducting the situations. Controlling difficult situations.
  9. Slide 1 Note to Faculty : Information that is italicized in this outline indicates points that should be discussed with the Instructor Candidates. This lecture will be most effective if experiences with teaching are shared.
  10. Slide 2 Discuss the principles of adult learning. Discuss methods of teaching TNCC Provider course chapters to include: Preparing and presenting the chapters. Individualizing the content. Controlling difficult situations. Discuss methods for teaching TNCC Provider course psychomotor skill stations to include: Preparing and conducting the situations. Controlling difficult situations.
  11. Slide 1 Note to Faculty : Information that is italicized in this outline indicates points that should be discussed with the Instructor Candidates. This lecture will be most effective if experiences with teaching are shared.
  12. Slide 1 Note to Faculty : Information that is italicized in this outline indicates points that should be discussed with the Instructor Candidates. This lecture will be most effective if experiences with teaching are shared.