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  • Simbu Intubation CME

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    Iniya Rajendran
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    This document provides information on intubation and CPR. It discusses the importance of securing the airway through various maneuvers like head tilt, chin lift, and jaw thrust. It then covers breathing methods like mouth to mouth, bag and mask ventilation, LMA, and intubation. The document proceeds to describe the steps of intubation in detail, including proper patient positioning, opening the mouth, inserting the laryngoscope, positioning the blade, lifting the epiglottis, inserting the endotracheal tube, and confirming proper placement. It also discusses techniques to improve laryngeal view and potential complications of intubation.

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    simbu Intubation CME PPT

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    This document provides information on intubation and CPR. It discusses the importance of securing the airway through various maneuvers like head tilt, chin lift, and jaw thrust. It then covers breathing methods like mouth to mouth, bag and mask ventilation, LMA, and intubation. The document proceeds to describe the steps of intubation in detail, including proper patient positioning, opening the mouth, inserting the laryngoscope, positioning the blade, lifting the epiglottis, inserting the endotracheal tube, and confirming proper placement. It also discusses techniques to improve laryngeal view and potential complications of intubation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views60 pages

    Simbu Intubation CME

    Uploaded by

    Iniya Rajendran
    This document provides information on intubation and CPR. It discusses the importance of securing the airway through various maneuvers like head tilt, chin lift, and jaw thrust. It then covers breathing methods like mouth to mouth, bag and mask ventilation, LMA, and intubation. The document proceeds to describe the steps of intubation in detail, including proper patient positioning, opening the mouth, inserting the laryngoscope, positioning the blade, lifting the epiglottis, inserting the endotracheal tube, and confirming proper placement. It also discusses techniques to improve laryngeal view and potential complications of intubation.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 60

    CME ON INTUBATION &

    CPR
    HAVE YOU WITNESSED ANY
    UNRESPONSIVE??
    • LOOK - Breathing

    • FEEL - Pulse

    • ACT - C- A- B
    AIRWAY
    • WE LOOSE EASILY

    • NEED IMMEDIATE ACTION

    • O2-IN, CO2-OUT
    ACT - FAST
    • CLEAR THE SECRETIONS

    • OPEN THE AIRWAY

    • FACILITATE VENTILLATION
    OPEN THE AIRWAY
    • AIRWAY MANEUVERS

    * HEAD TILT

    * CHIN LIFT

    * JAW THRUST
    BREATHING
    • MOUTH TO MOUTH BREATHING

    • BAG & MASK VENTILLATION

    • LMA

    • INTUBATION
    INTUBATION MADE
    EASY
    Dr. G.SILAMBARASAN, MD
    Assistant Professor
    Department of Anaesthesiology
    EASE OF INTUBATION
     POSITIONING

     MOUTH OPENING

     INSERTING LARYNGOSCOPE

     POSITIONING THE BLADE TIP

     LIFTING THE EPIGLOTTIS

     EXPOSE THE GLOTTIS

     INSERT THE ET TUBE

     CONFIRMATION
    1.POSITIONING
    • LINE OF SIGHT – MOUTH TO LARYNX

    • ALLIGMENT OF 3 ANATOMICAL AXIS


    * ORAL AXIS
    * PHARYNGEAL AXIS
    * LARYNGEAL AXIS

    “SNIFFING POSITION “
    SNIFFING POSITION
    CERVICAL FLEXION - C6-C7
    * 35 Degree
    * 5-7cm Elevation of Head
    * Aligns Pharyngeal & Laryngeal Axis

    HEAD EXTENSION - ATLANTO-OCCIPITAL JOINT


    * 80 Degree
    * Aligns Oral Axis
    2.MOUTH OPENING
     SCISSOR TECHNIQUE

    *Right Hand Thumb on Right Lower Molar

    *Right Hand Index Finger or 3rd Finger on


    Right Upper Molar
    3.INSERTING LARYNGOSCOPE
    • Right Side of the Mouth

    • Sweep the Tongue to Left side

    • Advance along the Base of the Tongue Until


    Epiglottis seen
    4.POSITION OF BLADE TIP

     PARK YOUR BLADE TIP IN VALLECULA

    PAIRED SPACE BETWEEN TONGUE AND


    EPIGLOTTIS

    BOUNDED BY MEDIAN & LATERAL


    GLOSSOEPIGLOTTIC FOLD
    5. LIFTING THE EPIGLOTTIS
    * 45 Degree
    * Anterior Deltoid & Triceps

    6. EXPOSE THE GLOTTIS

    7. INSERT THE ET TUBE


    8.CONFIRMATON
     ETCO2
     AUSCULTATION- 5 point
    1st in Epigastrium
    Right Upper & Lower chest
    Left Upper & Lower chest
     B/L CHEST RISE
     FOGGING OF ET TUBE
    OELM
    • BURP MANEUVER
    -Backward
    -Upward
    -Rightward
    -Pressure On Thyroid Cartilage

    “Better Laryngeal View”


    COMPLICATIONS
    • ESOPHAGEAL INTUBATION

    • ENDOBRONCHIAL INTUBATION

    • AIRWAY INJURY

    • HEMODYNAMIC CHANGES
    BEFORE CME
    AFTER CME
    THANK YOU

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