Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping....

33
Airway management & ALS A Breathtaking Art Dr. Jonas Verzele

Transcript of Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping....

Page 1: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Airway management & ALSA Breathtaking Art

Dr. Jonas Verzele

Page 2: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.
Page 3: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Head Tilt – Chin Lift

Page 4: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Jaw Thrust

Page 5: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

1.Look2.Listen3.Feel

Page 6: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Gasping

Page 7: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.
Page 8: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Choose your weapon

Bag-mask ventilation

Supraglottic airways

Tracheal intubation

Cricothyroidotomy

Page 9: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Suction

Page 10: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Bag-mask ventilation – 2 hands

Page 11: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Bag-mask ventilation – 1 hand

Page 12: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Mayo-canulle

Page 13: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

SGA – Laryngeal mask

Page 14: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

SGA – Laryngeal mask

Page 15: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Tracheal intubation

Page 16: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Sniffing Position

Page 17: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

BURP

BackwardsUpwardsRightwardsPressure

Page 18: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

BURP

Page 19: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Gum Elastic Bougie

Page 20: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Gum Elastic Bougie

Page 21: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Stylet/Mandrin

Page 22: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Videolaryngoscope

Page 23: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Videolaryngoscope

Page 24: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Confirmation of correct placement

Page 25: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Cricothyroidotomy

Page 26: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Cricothyroidotomy

Page 27: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Stab, twist, bougie, tube

Page 28: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

O2

Page 29: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Ventilatie

30:2 10’

Page 30: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Choking

Page 31: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.
Page 32: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.
Page 33: Airway management & ALS · Head Tilt –Chin Lift. Jaw Thrust. 1.Look 2.Listen 3.Feel. Gasping. Choose your weapon Bag-mask ventilation Supraglottic airways Tracheal intubation Cricothyroidotomy.

Supraglottic airways

Supraglottic airways

Fast Tracking in Off Pump CABG with Supraglottic Airway ...

Fast Tracking in Off Pump CABG with Supraglottic Airway ...

EchoES of GaSpinG SoulS - gurucharangandhi.com

EchoES of GaSpinG SoulS - gurucharangandhi.com

PILOT PROGRAM FOR THE USE OF SUPRAGLOTTIC AIRWAY DEVICES BY FIRST

PILOT PROGRAM FOR THE USE OF SUPRAGLOTTIC AIRWAY DEVICES BY FIRST

7E Supraglottic Airway - acidremap.com

7E Supraglottic Airway - acidremap.com

Cricothyroidotomy and Needle Cricothyrotomy

Cricothyroidotomy and Needle Cricothyrotomy

Gasping for Fresh Air?

Gasping for Fresh Air?

Death & Complications: Emergent Cricothyroidotomy Rajesh Ramanathan General Surgery, PGY-2 June 21 st, 2012.

Death & Complications: Emergent Cricothyroidotomy Rajesh Ramanathan General Surgery, PGY-2 June 21 st, 2012.

Sunil Sharma MD. Diagnosis: History Snoring (loud, chronic) Snoring (loud, chronic) Nocturnal gasping and choking Nocturnal gasping and choking Ask bed.

Sunil Sharma MD. Diagnosis: History Snoring (loud, chronic) Snoring (loud, chronic) Nocturnal gasping and choking Nocturnal gasping and choking Ask bed.

Clinical evaluation of VGEL supraglottic airway device ... · Tables/ Figures/ Appendix Seite 20 Lebenslauf . 2 Clinical evaluation of VGEL supraglottic airway device (SGAD) in comparison

Clinical evaluation of VGEL supraglottic airway device ... · Tables/ Figures/ Appendix Seite 20 Lebenslauf . 2 Clinical evaluation of VGEL supraglottic airway device (SGAD) in comparison

Emergent surgical cricothyroidotomy (cricothyrotomy)

Emergent surgical cricothyroidotomy (cricothyrotomy)

Chapter 17. Supraglottic Airway Devices

Chapter 17. Supraglottic Airway Devices

Supraglottic Cancer

Supraglottic Cancer

Needle Cricothyroidotomy 2 - Hatem Alsrour

Needle Cricothyroidotomy 2 - Hatem Alsrour

Supraglottic airway devices as a strategy for unassisted ...

Supraglottic airway devices as a strategy for unassisted ...

Supraglottic Airway Device

Supraglottic Airway Device

#3 Intro to EM Airway Management- Assessment and SupraGlottic Airways (SGA)

#3 Intro to EM Airway Management- Assessment and SupraGlottic Airways (SGA)

Prognostic value of gasping for short and long outcomes during out-of-hospital … · 2018. 12. 14. · after CA and (2) long-term survival (≥6months), and (3) whether gasping is

Prognostic value of gasping for short and long outcomes during out-of-hospital … · 2018. 12. 14. · after CA and (2) long-term survival (≥6months), and (3) whether gasping is

Supraglottic devices · Second-generation supraglottic airways. Air-Q i-gel Ambu Aura-i Second-generation devices include:-Different material from the original LMA.-Bite blocks.-Preformed

Supraglottic devices · Second-generation supraglottic airways. Air-Q i-gel Ambu Aura-i Second-generation devices include:-Different material from the original LMA.-Bite blocks.-Preformed

Influence of Supraglottic Airway Device placement … · Influence of Supraglottic Airway Device placement on ... Influence of supraglottic airway device placement on cerebral hemodynamics

Influence of Supraglottic Airway Device placement … · Influence of Supraglottic Airway Device placement on ... Influence of supraglottic airway device placement on cerebral hemodynamics