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Anesthesia Clinical Rotation - Air Way Management

Anesthesia Clinical Rotation - Air Way Management

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Published by Hassan.shehri
Anesthesia Clinical Rotation - Air Way Management
Anesthesia Clinical Rotation - Air Way Management

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Published by: Hassan.shehri on Mar 13, 2009
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01/29/2013

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Anesthesia Clinical Rotation 2007
Female Group E1
I've made this note depending on my notes I wrote during the rotation..Hope you find it helpful & useful..Wish you all the best & don't forget me from your prayers..Best of luck in the exam
Iman A. Al-Mukhtar
 
Air way Management.. 
Air way Obstruction:
Signs of Air way Obstruction in non-intubated patients:
1- Noisy Breathing
The commonest sign.2-Using the accessory respiratory muscles. 3-By Auscultation : unequal air entry to both lungs. 4-Air hunger & distress. 5-Cyanosis in sever or prolonged obstruction.
Common Causes of Air way Obstruction in non-intubated patients
1- Nasal Cavity Obstruction. e.g : Deviated Nasal Septum.2-Oral Cavity Obstruction. e.g : Tongue Fall against the posterior pharyngeal wall.
it is the commonest cause.3-Laryngeal Spasm. e.g : Laryngitis..4-Tracheal & Bronchi Obstruction. e.g : Foreign Body , Hyperactive air way " full of secretions"
Common Causes of Air way Obstruction in intubated patients:
1-High air way pressure
The commonest cause.2-Mechanical Obstruction. e.g : Blood clot , secretary bluge.3-Physiological Obstruction. e.g : Asthma induced bronchospasm.There in NO Noisy Breathing in intubated patients.
How to make patent Air way?
Head Lift in non- traumatize patientsJaw Thrust in traumatize patients
 
Air way Instruments..
(1)Oropharyngeal Airway:
Indication:Upper Air way Obstruction mainly by tongue fall.Contraindications:1-Semiconscious patient.
(bcz it will stimulate gag reflex causing vomiting & aspiration)
2-Patient with multiple mandible fractures. 3-Patient with multiple tongue injuries. 3-Patient with hard teeth clenching.

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