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  • Ravi Alagar Ed Burdett: The Airway

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    This document discusses airway anatomy, assessment, and control. It begins with an overview of airway anatomy including the oropharynx and larynx. It then discusses airway assessment through patient history and physical examination, noting things like previous difficulty, medical conditions, tumors, scars, neck movement, jaw structure, dentition, beard, mouth opening, and thyromental distance that can indicate a difficult airway. The document emphasizes preparation, having the proper equipment, and requesting help if needed. It describes mask ventilation techniques and using adjuncts like laryngeal mask airways or endotracheal tubes when mask ventilation is difficult. The secure airway is deemed a cuffed endotracheal tube placed in the

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    This document discusses airway anatomy, assessment, and control. It begins with an overview of airway anatomy including the oropharynx and larynx. It then discusses airway assessment through patient history and physical examination, noting things like previous difficulty, medical conditions, tumors, scars, neck movement, jaw structure, dentition, beard, mouth opening, and thyromental distance that can indicate a difficult airway. The document emphasizes preparation, having the proper equipment, and requesting help if needed. It describes mask ventilation techniques and using adjuncts like laryngeal mask airways or endotracheal tubes when mask ventilation is difficult. The secure airway is deemed a cuffed endotracheal tube placed in the

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    19 views28 pages

    Ravi Alagar Ed Burdett: The Airway

    Uploaded by

    vvb_frnd
    This document discusses airway anatomy, assessment, and control. It begins with an overview of airway anatomy including the oropharynx and larynx. It then discusses airway assessment through patient history and physical examination, noting things like previous difficulty, medical conditions, tumors, scars, neck movement, jaw structure, dentition, beard, mouth opening, and thyromental distance that can indicate a difficult airway. The document emphasizes preparation, having the proper equipment, and requesting help if needed. It describes mask ventilation techniques and using adjuncts like laryngeal mask airways or endotracheal tubes when mask ventilation is difficult. The secure airway is deemed a cuffed endotracheal tube placed in the

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    of 28

    Ravi Alagar

    Ed Burdett

    THE AIRWAY

    SpR in Anaesthesia

    UCL
    the centre for
    Anaesthesia
    The airway always comes first
    This talk…

    • Airway anatomy
    • Airway assessment
    • Airway control
    Airway Anatomy
    • Oropharynx
    Airway Anatomy
    Airway Anatomy

    • Larynx
    Airway Assessment
    • History • Examination
    History

    • Previous difficulty
    • Medical conditions
    – RA
    – Ankylosing spondylitis
    – Congenital problems
    • Head and neck tumours
    • Previous surgery
    Examination

    • Sometimes it’s pretty


    obvious…
    Examination

    • Obesity
    • Short thick neck
    • Neck movement
    • Scars
    • Large breasts
    Examination
    • Jaw
    – Receding mandible
    – Protrusion

    • Dentition
    – Loose teeth
    – Prominent upper teeth
    – Overbite
    – Dentures
    Examination

    • Beware the bearded man…


    Examination

    • Mouth opening
    • Bad if <3cm
    • Mallampati
    Examination

    • Thyromental distance
    • Bony point on mentum (mandible) to thyroid
    notch
    • Bad if short (<6cm)
    A little preparation goes a long way…

    Plan Equipment Help


    Mask Ventilation
    Difficulty mask ventilating

    • Age >55
    • BMI >26
    • History of snoring
    • Lack of teeth
    • Beard
    Mask Ventilation

    • Two-handed technique
    Use adjuncts

    Adult male

    Adult female
    The Airway
    Laryngeal mask (LMA)
    • Endotracheal tubes
    The secure airway is a cuffed tube in the
    trachea
    LMA
    Sometimes it can be difficult
    Thank you

    Any questions?

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