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Cardiopulmonary Arrest
Patient in coma
Tachpnea/ Bradypnea
Progressive cyanosis
Surgical patients
Atropine
Epinephrine
Lidocaine
DISADVANTAGES
NASAL
RAE TUBES II
Preformed Endotracheal Tubes are designed
to conveniently position the anesthesia circuit
out of the surgical field for oral and
maxillofacial procedures.
Oral Preformed shape directs tube downward,
to rest on patients chin
Cuffed tubes available with Murphy Eye only
Uncuffed tubes have two Murphy Eyes for
enhanced patient safety
Bold marks at the center of bend with
distance to distal tip indicated
ENDOBRONCHIAL TUBE
Indications for
usage
Thoracic surgery
Broncho-spirometry
Thoracoscopies
Differential or
selective lung
ventilation
Lung Lavage
ENDOBRONCHIAL TUBE
WITH CPAP SYSTEM
Indications For Usage
Thoracic surgery
Broncho-spirometry
Thoracoscopies
Differential or selective
lung ventilation
CONFIRMATION OF ETT
PLACEMENT
ETCO2 DETECTORS
LET US SEE…
airways situations.
Anticipate Difficult Airway.
DISADVANTAGES
Aeroview
Schroeder Stylet
Nanoscope
Many Others………..
LMA
The Laryngeal Mask Airway is an
alternative airway device used for
anesthesia and airway support. It consists
of an inflatable silicone mask and rubber
connecting tube. It is inserted blindly into
the pharynx, forming a low-pressure seal
around the laryngeal inlet and permitting
gentle positive pressure ventilation. All
parts are latex-free.
LARYNGEAL MASK AIRWAY
LMA
INDICATIONS
Non-fasted patients
Morbidly obese patients
Pregnancy
Obstructive or abnormal lesions of the
oropharynx
Increased Airway resistance and decreased
lung compliance
VARIOUS SIZES OF LMA
2.5-4.0 56 cm
4.0-6.0 56 cm
6.0-8.5 81 cm
7.5-10.0 81 cm
ETT EXCHANGER
Facilitates quick, efficient endotracheal tube
exchange or replacement without using a
laryngoscope
Flexible material, frosted surface and depth
marks aid precise placement and minimize
drag
Internal lumen allows for spontaneous
breathing during tube exchange
Longer size allows exchange of the ETT
while exchanger is still in the trachea
These devices allow insufflation of O2 and jet
ventilation.
ETT EXCHNAGER
ADVANTAGES
Relatively short learning time
Allow changing endotracheal tube with
guide still in the trachea e.g. in case of
ruptured ETT cuff
DISADVANTAGE
Improper placement of ETT may still occur
with these devices if guide is not placed
completely in the trachea
CRICOTHYROTOMY
ADVANTAGES
Expensive
Requires careful maintenance
Presence of blood or secretion
Impairs visualization.
COMPLICATIONS OF
INTUBATION
During intubation
Esophageal intubation
Endobronchial intubation
Damage of tooth, lip, tongue, mucosa
Increased B.P, HR, ICP, IOP
Laryngospasm
Unanticipated difficult airway
Pt can code and die
COMPLICATIONS OF
INTUBATION
While ETT in place
Unintentional extubation
Endobroncial intubation
Obstruction
Mucosal inflammation and ulceration
ETT malfunction
COMPLICATIONS OF
INTUBATION
Following extubation
BY
KANWAL SHAHZAD RRT