• Embed Doc
  • Copy Link
  • Readcast
  • Collections
  • CommentGo Back
Download
 
 
Airway ManagementAirway Managementin the Emergency Departmentin the Emergency Departmentand ICUand ICU
Mehdi Khosravi, MDMehdi Khosravi, MD
Pulmonary/CCM Fellow
Giuditta Angelini, MDGiuditta Angelini, MD
Assistant Professor 
Jonathan T. Ketzler, MDJonathan T. Ketzler, MD
Associate Professor 
Douglas B. Coursin, MDDouglas B. Coursin, MD
Professor Departments of Anesthesiology & MedicineUniversity of Wisconsin, Madison
 
 
Global AssessmentGlobal Assessment
Assess underlying need for airway control
•Duration of intubation
-Nasal intubation less advantageous for potentially prolonged ventilator requirements
•Permanent support-Underlying advanced intrinsic lung or neuromuscular disease•Temporary support
•Anesthesia•Presence of reversible intrinsic lung or neuromuscular disease•Protection of the airway due to depressed mental status•Presence of reversible upper airway pathology•Patient care needs (e.g., transport, CT scan, etc.)•Significant comorbidities
Aspiration potential or increased respiratory secretions
Hemodynamic issues such as cardiac disease or sepsis
Renal or liver failure
 
 
Global AssessmentGlobal Assessment
Pathophysiology of the respiratory failure
•Hypoxic respiratory failure
-In case of hypoxic respiratory failure, different noninvasive oxygen deliverydevices can be used.-The severity of hypoxia and presence or absence of underlying disease (suchas COPD) will dictate the device of choice.
•Hypercapnic respiratory failure
-The noninvasive device of choice for hypercapnic respiratory failure is BIPAP.
Assessment of above mentioned patient characteristics inconjunction with the mechanism of respiratory distressleads the clinician to proper choice and duration of invasive or noninvasive options for airway management.Code status should be clarified prior to proceeding.
of 00

Leave a Comment

You must be to leave a comment.
Submit
Characters: ...
You must be to leave a comment.
Submit
Characters: ...