Airway management

Airway management - pharyngeal space If unable to see the...

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Airway management In an acute emergency setting, all medical healthcare professionals should be thinking ABCDE. A = Airway. This will be a short guide to managing an airway in an acute and controlled setting. Background The anatomy of the respiratory system consists of both upper and lower segments. Therefore, when presented with any acute respiratory distress symptoms, pathologies in either segment must be considered. Initial management of acute airway The patient should be asked a simple question initial to assess the airway (eg. “ Mr. Smith can you hear me?” If he responds appropriately, The airway is patent Ventilation is intact His brain is being adequately supplied with Blood and Oxygen Agitation, cyanosis, and wheezing are typically a sign of airway obstruction and should require further investigation into the cause of respiratory symptoms. The first thing to do is look, listen and feel for breathing. A lot of young people may have an obstruction from a foreign body. Look for an object in the
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Unformatted text preview: pharyngeal space. If unable to see the object, do not attempt to probe for the obstruction with a medical instrument. Here you must consider back slaps of the Heimlich maneuver. Securing an airway: Head tilt and chin lift Jaw thrust Inspection of mouth and pharynx for foreign bodies / vomit Suction of secretions if necessary Bag and mask ventilation with oxygen feed Pre-operative Management: Before all operations, the airway should be evaluated to estimate the difficulty of intubation. When obtaining a history, patients should be asked questions about difficulty with prior anaesthetics, history of sleep apnea, and the presence of airway pathology, especially if it is associated with stridor. During the physical examination, the patient’s body habitus should be evaluated along with an inspection the mouth and pharynx to identify any potential problems....
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Airway management - pharyngeal space If unable to see the...

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