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Face Mask and General Endotracheal AnesthesiaFELANI DWIJAYANTIFK TRISAKTI03011100

+Anatomy

+Face mask

Facilitating oxygen or anesthetic agent (gas) transfer from breathing system to patient

Safe, effective, cheaper, minimal complication

+How to?

Handle the face mask with left hand, handle the breathing bag with right hand

Face mask is placed on the face Hand position : C – E position

+Difficult Mask Ventilation

Overweight (BMI >25) Bread Elderly (>55 years) Snoring Edentulous

+GETAGeneral Endotracheal Anesthesia

A general anesthesia’s technique that involve airway management with an insertion of endotracheal tube through the mouth or nose.

+Indication Airway patency, support the ventilation, adequate oxygenation

Prevent from aspiration

Assist operation that required position besides supine position.

Head, neck, or respiratory tract surgery

Bronchialpulmonary toilet

Upper respiratory tract abnormality

+Contraindication

Respiratory tract trauma or obstruction where its impossible to do the intubation

Cervical trauma that require immobilization

+Preparation

Patient and family Informed consent Difficult intubation

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Emergency medicine Anesthetic agents

S T A T I C S

Medicine Tools

+Procedure

Sniffing position Induction and muscle relaxant Oxygenation 3-5 minutes Hold the laryngoscope with the left hand The patient’s mouth opened with the right hand The blade placed into the right side of the patient’s

mouth, sweeping the tongue to the left. The tip of the straight blade is inserted posterior to the

epiglottis.

Oral intubation

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The ETT is held in the right hand and inserted between the vocal cords

Inflate the cuff Check tube position by auscultation of the chest (and

abdomen) Secure ETT with adhesive tape

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Insert a well-lubricated tube with fully deflated cuff via a patent, lubricated naris, at a right angle to the face

Some resistance is commonly encountered, overcome with slight rotation of the tube

Once the tube is beyond the nasopharynx, introduce the laryngoscope into the oral cavity and advance the tube under direct vision

Magill forceps can be used to guide the tube through the vocal cords

ProcedureNasal intubation

+Complication

Malpositioning esophageal intubation, bronchial intubation, laryngeal cuff malposition.

Airway trauma dental damage, lip, tongue, or mucosal laceration, sore throat, excoriation of nose, dislocated mandible

Physiological reflexeshypoxia, hypertension, tachycardia, laryngospasm

Tube malfunction cuff perforation

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