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Management of The Airway Jan 2020
Management of The Airway Jan 2020
Hesham Alkharabsheh, MD
Assistant Consultant Cardiac Anesthesia
King Faisal Specialist Hospital and Research Center
Adverse Respiratory Events
– Esophageal intubation
1. POSITION
2. AIRWAY MANEURVERS
1. Head-tilt chin-lift
2. Jaw-thrust
3. GOOD MASK SEAL ( C&E)
4. AIRWAY ADJUNCTS:
1. OROPHARYNGEAL AIRWAY
2. NASOPHARYNGEAL AIRWAYS
Positioning
Airway Maneuvers
1.Head-tilt chin-lift
1. Intact Cervical Spine
2. Jaw-thrust
1. Cervical Spine Injury
Mask Ventilation- Airway Maneuvers
Mask Ventilation- Airway Maneuvers
Airway Adjuncts
Oropharyngeal airway:
• Sized from the angle of
the mouth to the
earlobe.
• Not in patients with
intact gag reflex.
Airway Adjuncts
Nasopharyngeal airway:
• Sized from the nose tip to
the earlobe.
• In patients with intact
gag reflex.
Airway Adjuncts
Oropharyngeal
airway in place
Advanced Airways
Mallampati Classification
Mallampati Classification
The Mallampati Test & direct laryngoscopy
Difficult Airway -Approach
• Anticipation
• Planning
• Preparation
Features Suggesting the Presence of a Difficult Airway
• Direct laryngoscopy
• Fiberoptic intubation
• Videoscopes
• Intubating LMA
• Rigid bronchoscopy
• Lighted stylet
• Surgical airway
Flexible Bronchoscope