Department of Medical Education

Ayub Medical College

Abbottabad

MODULE # 4
Airway Management
Suction, OPA Insertion,
Bag Mask Ventilation, Oxygen Therapy
 AIRWAY MANAGEMENT
Objectives of the Session
 Scene Safetly & Standard Precautions
 Oxygen Therapy
 Suction
 Oropharyngeal Airway
 Bag Mask Ventilation
 Types of Advanced Airways
 Video Presentation
 Demo+ Practice
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 PERSONAL SAFETY
Universal Precautions
 Barrier Devices
•Gloves (Latex Free)
•CPR Face Shield
•CPR Mouth Piece
•Pocket or Face Mask
• Safety Goggles/Glasses
• Aprons & Gowns
• Safety Shoes
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HEALTH HAZARDS – SAFETY FIRST
 Diseases spread through blood and
other bodily fluids
 HIV / AIDS

 Hepatitis B & C

 Use gloves
 CPR mouth piece / face shield
 Never regard any patients as ‘Safe’,
Not even children!

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 AIRWAY EQUIPMENT
 Pocket Mask:
 Various types
 Bag Valve Mask
 Adult
 Child
 Infant
Cylinder:
 D size
 AF, E, F, G, J
 F size
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 OXYGEN THERAPY
 Odourless, colourless, present in the
atmosphere at 21%
 Expired air contains about 17% oxygen
 Oxygen helps fire to spread quickly. Must keep
it away from naked flames/sources of ignition.
 Oxygen supply to vital organs, like heart,
lungs and brain may be reduced.
 Give a measured dose to achieve oxygen
levels of 94-98% for Adult and 96-98%
for Pediatric patients
 During cardiac arrest, give patient as high a
concentration of oxygen as possible. 6
OXYGEN DELIVERY EQUIPMENT

Portable cylinders
CD – Capacity 500 liters
D – Capacity 340 liters.
Transportable cylinders
F – Cylinders – 1350 liters
G – Cylinders – 3000 liters

Fixed wall systems

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Unlimited capacity.
 Nasal Cannula
Delivers up to 44% oxygen

Standard Oxygen Mask

Delivers up to 60% oxygen

Non Rebreather Mask

Delivers >85% oxygen at
15 liters a minute
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 SUCTION
 Suction is created by a vacuum
generated by a mechanical device.
 Used to clear the oro-pharynx and naso-
pharynx of blood, saliva and vomit
through a special tube
 Rigid or Yankauer catheter is used for
rapid removal of large amounts of blood,
saliva and vomit
 Soft-tip catheters is best used for more
controlled and difficult suctioning.
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 MAIN SUCTION DEVICES

Wall-mounted Unit

Manual Suction Unit

Portable Electric Suction Unit

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 SUCTION TECHNIQUES
 Measure from corner of the patient’s mouth
and angle of the jaw
 Suction also removes air and oxygen as well
as removing blood, saliva and vomitus
 Suction should be followed by ventilation
 Suction attempts should be limited to
periods, No longer than:
 5 seconds in Infants
 10 seconds in Children
 15 seconds in Adults
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 BAG VALVE MASK (BVM)
 BVM should always be used with oxygen
if it is available.
 Comes in three sizes - Adult, Child and
Infant.
 Ventilation with a BVM is more effective
than mouth-to-mouth for unresponsive
patient who is not Breathing.
 BVM is used by Two rescuers working as
a team.
 Make sure that a good Seal is achieved.
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 BAG VALVE MASK
 Open the airway using Head-tilt
Chin-lift method.
 Place mask over the patient’s
mouth and nose with pointed end
towards their Forehead.
 Place point of Mask over the bridge
of patient’s Nose as a guide for
correct position.
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 BAG VALVE MASK
 Do not squeeze bag too quickly or too
forcefully
 This may cause Gastric inflation - air
entering patient’s stomach.
 Squeeze BVM until you see visible
chest rise.
 Too much air entering the stomach it
can cause vomiting/regurgitation and
aspiration pneumonia
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 BAG VALVE MASK

Single Rescuer Two Thumb Technique

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Double C and Double E Technique

ORO-PHARYNGEAL AIRWAY
(OPA)

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 OPA - INDICATIONS
 Unresponsive, with no gag reflex
 Contraindicated if…
• Patient’s jaw is clenched (Trismus)
• Patient is likely to vomit
• Patient has a gag reflex

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 ADVANCED AIRWAYS

Combi tube

LMA

iGel 18
Video Presentation

Oxygen Therapy
Suction
OPA,
BVM Ventilation
 Demo
&
Practical Session
Oxygen Therapy
Suction
OPA Insertion
Bag Mask Ventilation
Thank You