AIRWAY MANAGEMENT

NEED FOR AIRWAY Sequential Airway Management

MANAGEMENT .
Head Tilt + Chin Lift
 CPR Head Tilt + Chin Lift
 ATLS Jaw Thrust
 Head Injury Mouth to Mouth
 Poisoning Bag and Mask
 Coma
 Seizures
Tracheal Intubation
 COPD & Respiratory Failure Surgical Airway

Indication for Intubation -

1.For supporting ventilation in
patients with :
Upper Airway Obstruction
Respiratory Failure
Loss of consciousness
2. For supporting ventilation
during general anaesthesia
3. Patients at risk of pulmonary
aspiration
4.Difficult Mask Ventilation
5.Any patient in imminent
danger of upper airway
obstruction (e.g Burns of the
upper airway)
6. Cardiac arrest

Face Mask

22 mm orifice
Transparent/ black rubber
Hook
Minimize dead space

Mask Seal Difficulty

-Small Hands OA-Oral Axis ; PA-Pharyngeal Axis ; LA-Laryngeal Axis

-Wrong Mask Size

-Oddly Shaped Face
-Bushy Beard
-Blood/Vomit
-Facial Trauma

OP AIRWAY NP AIRWAY LARYNGEAL AIRWAY

PROS Easy to use Well tolerated Provide better protection

Small Does not stimulate gaga against aspiration
Cheap reflex as much as OP Makes BMV technique
airway easier
Can be used when Does not require a mask
mouth is clenched for BMV
Can still suction the Less air leakage during
mouth ventilations
Easy to use Less risk of gastric
Small inflation
cheap

CONS Does not protect Potential to clog with Bulk

against fluids mucus /vomit More 4Expensive
Makes suctioning Does not protect against Inflatable devices are
difficult fluids more time consuming

CONTRAINDICATIONS Gag Reflex Head Injury Gag Reflex