文档介绍:呼吸道通气方法ALS3Airway&VentilationMethods:ALSStraight(Miller)BladeVisualizeanatomyInsertfromrighttoleftmovingtongueawayLiftupwardandawayBladepastvalleculaandoverepiglottisLiftepiglottisdirectlyFromAHAACLSTubePositioningFromTRIPP,CPEMAirway&VentilationMethods:ALSBlindNasotrachealIntubationPosition&OxygenatepatientMonitorpatientECGMonitorPulseoximeterAssessforBNIdifficultyorcontraindicationAssemble&checkequipmentLubricateendoftube;DonotwarmAttachBAAM(ifavailable)Airway&VentilationMethods:ALSBlindNasotrachealIntubation(cont)Positionpatient(preferablysittingupright)InserttubeintolargestnareAdvanceslowlybutsteadilyListenforsoundofwhistleviaBAAMAdvancetubeInflatecuff&AssessplacementSecure&ReassessAirway&VentilationMethods:essUsingmiddlefingerstolocateepiglottisLiftepiglottisSlidelubricatedtubealongsidefingersAssesstubeplacement&depthaswithorotrachealintubationAirway&VentilationMethods:ALSDigitalIntubationFromAMLS,NAEMTAirway&VentilationMethods:ALSSurgicalCricothyrotomyIndicationsabsoluteneedforadefinitiveairwayANDunabletoperformETTdueforstructuraloranatomicreasons,ANDriskofnotintubatingis>thansurgicalairwayriskORabsoluteneedforadefinitiveairwayANDunabletoclearanupperairwayobstruction,essfulattemptsatETT,ANDothermethodsofventilationdonotallowforeffectiveventilationandrespirationAirway&VentilationMethods:ALSSurgicalCricothyrotomyContraindications(relative)NorealdemonstratedindicationRisks>benefitsAge<8years(somesay10)evidenceoffxlarynxorcricoidcartilageevidenceoftrachealtransectionAirway&VentilationMethods:ALSSurgicalCricothyrotomyTipsKnowyouranatomyShortincision,avoidinferiortracheaIncise,