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Principles of Airway Principles of Airway ManagementManagement
FFP Module 7FFP Module 7
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Indications for airway Indications for airway protectionprotection
Decreased level of consciousness Decreased level of consciousness GCS <9GCS <9 Cerebral injury Cerebral injury SurgerySurgery Medical problemsMedical problems
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Potential causes of airway Potential causes of airway obstructionobstruction
TongueTongue DenturesDentures Food stuffsFood stuffs VomitVomit BloodBlood SecretionsSecretions
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Techniques to clear material Techniques to clear material from airwayfrom airway
SuctionSuction Postural airway manoeuvresPostural airway manoeuvres Basic life support chocking protocolBasic life support chocking protocol
Up to 5 back slapsUp to 5 back slaps Up to 5 abdominal thrustsUp to 5 abdominal thrusts Only if unconscious up to 5 chest thrustsOnly if unconscious up to 5 chest thrusts If unsuccessful to clear airway then If unsuccessful to clear airway then
Basic Life SupportBasic Life Support
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Opening the AirwayOpening the Airway
Check the airwayCheck the airway Open the airway, place one hand on Open the airway, place one hand on
the victims forehead and gently tilt the victims forehead and gently tilt head backhead back
Remove any visible obstruction from Remove any visible obstruction from the victims mouth, including dislodged the victims mouth, including dislodged dentures. Leave well fitting dentures in dentures. Leave well fitting dentures in placeplace
DO NOT ATTEMPT ANY FINGER SWEEPSDO NOT ATTEMPT ANY FINGER SWEEPS
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Jaw thrust technique may be Jaw thrust technique may be needed if C-spine injuryneeded if C-spine injury
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Nasopharyngeal airway Nasopharyngeal airway insertioninsertion
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Oropharyngeal airway Oropharyngeal airway insertioninsertion
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The Laryngeal Mask AirwayThe Laryngeal Mask Airway
Latex-free, silicone Latex-free, silicone rubber tube connected rubber tube connected to an elliptical mask with to an elliptical mask with an inflatable outer riman inflatable outer rim Standard 15 mm male Standard 15 mm male
adaptoradaptor Pilot tube and balloon Pilot tube and balloon
attached to the inflatable attached to the inflatable outer rimouter rim
Bars cover the connection Bars cover the connection between the tube and the between the tube and the maskmask
Re-useable up to 40 times Re-useable up to 40 times (Autoclave)(Autoclave)
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Insertion TechniqueInsertion Technique
Open the mouth and Open the mouth and press the tip of the cuff press the tip of the cuff upward against the upward against the palate and flatten the palate and flatten the cuff against itcuff against it
Use index finger to guide Use index finger to guide LMA, pressing backwards LMA, pressing backwards along the palate towards along the palate towards ears until resistance is ears until resistance is feltfelt
The tip now rests in the The tip now rests in the hypopharynxhypopharynx
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Insertion TechniqueInsertion Technique
Use other hand to press Use other hand to press down on LMA tube while down on LMA tube while removing index fingerremoving index finger
Inflate with 2-4 ml air to Inflate with 2-4 ml air to seal (60 cm H20 seal (60 cm H20 maximum)maximum)
Don’t hold the tube Don’t hold the tube while inflating the while inflating the balloon, it moves balloon, it moves outward a little as it outward a little as it seats properlyseats properly