Nicolette Mosinski MPAS, PA-C

Nicolette Mosinski MPAS, PA-C

1. Impaired respiratory effort 2. Airway obstruction

Observe patient for detection Rate Pattern Depth Accessory muscle use Evidence of injury

Noises Silent manifestations of complete obstruction

Head-Tilt Chin-Lift Jaw Thrust http://nursing411.org/courses/md0532_cardiopulmonary_resuscitation/3-06_cardiopulmonary_resuscitation.html http://medicpatriot.blogspot.com/2012/07/airway-management-101.html

Recognition of Airway Obstruction Opening the Airway Maintaining the Airway

Airway Adjuncts OPA Oropharyngeal Airway NPA Nasopharyngeal Airway

Intended to extend from the central incisor to just short of the epiglottis and posterior pharyngeal wall. Measure from the lips to the angle of the mandible 8-10cm = most adults

https://pocketdentistry.com/5-emergency-airway-management-in-the-traumatizedpatient/

1. Techniques Inserted into the open mouth in an inverted position, with tip sliding along the palate. Upon complete insertion the device is rotated 180 degrees into position. The tongue is pulled forward with a tongue blade and the OPA is inserted in its normal orientation. 2. Insert NPA to adjunct OPA

Pushing the tongue posteriorly with insertion Using the incorrect size Trauma to the lips or tongue Using the device in a patient with intact reflexes

Diameter Size based on internal luminal diameter (about the size of one s pinky finger) 6.0-9.0 Adult Length Flare end at tip of patients nose and distal tip reaching the angle of the mandible. https://pistol-forum.com/archive/index.php/t-10572.html

1. Coat NPA in watersoluble lubricant/anesthetic jelly 2. Insert device along the floor of the naris into he posterior pharynx behind the tongue

Using improper size Injury to the nasal mucosa Insertion in patient with basilar skull fracture

OPA More reliable airway maintenance Unresponsive patient NPA Better if gag or cough reflexes are intact. Semi-responsive patient Assist with OPA in unresponsive.

Indications: BMV is difficult / if intubation has failed Single attempt rescue device performed simultaneously with preparation for cricothyrotomy in the can t intubate, can t oxygenate Alternative to endotracheal intubation by advanced life support providers Alternative to endotracheal intubation for elective airway management in the operating room for appropriately selected patients Conduit to facilitate endotracheal intubation

No portion passes through the vocal cords. Laryngeal Mask Airway (LMA) Cobra PLA PeriLaryngeal Airway

Device passes behind the larynx to enter the upper esophagus King LT airway Easy Tube

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