文档介绍：Airway & Ventilation Methods: ALS
Curved (Macintosh) Blade
Visualize anatomy
Insert from right to left
Lift upward and away
Blade in vallecula
Lift epiglottis indirectly
From AHA ACLS
整理课件
Airway & Ventilation Methods: ALS
Straight (Miller) Blade
Visualize anatomy
Insert from right to left moving tongue away
Lift upward and away
Blade past vallecula and over epiglottis
Lift epiglottis directly
From AHA ACLS
整理课件
Tube Positioning
From TRIPP, CPEM
整理课件
Airway & Ventilation Methods: ALS
Blind Nasotracheal Intubation
Position & Oxygenate patient
Monitor patient
ECG Monitor
Pulse oximeter
Assess for BNI difficulty or contraindication
Assemble & check equipment
Lubricate end of tube; Do not warm
Attach BAAM (if available)
整理课件
Airway & Ventilation Methods: ALS
Blind Nasotracheal Intubation (cont)
Position patient (preferably sitting upright)
Insert tube into largest nare
Advance slowly but steadily
Listen for sound of whistle via BAAM
Advance tube
Inflate cuff & Assess placement
Secure & Reassess
整理课件
Airway & Ventilation Methods: ALS
Digital Intubation
Blind technique
Variable probability of success
Using middle fingers to locate epiglottis
Lift epiglottis
Slide lubricated tube along side fingers
Assess tube placement & depth as with orotracheal intubation
整理课件
Airway & Ventilation Methods: ALS
Digital Intubation
From AMLS, NAEMT
整理课件
Airway & Ventilation Methods: ALS
Surgical Cricothyrotomy
Indications
absolute need for a definitive airway AND
unable to perform ETT due for structural or anatomic reasons, AND
risk of not intubating is > than surgical airway risk
OR
absolute need for a definitive airway AND
unable to clear an upper airway obstruction, AND
multiple unsuccessful attempts at ETT, AND
other methods of ventilation do not allow for effective ventilation and respiration
整理课件
Airway & Ventilation Methods: ALS
Surgical Cricothyrotomy
Contraindications (relative)
No real demonstrated indication
Risks