Topik_3_Airway and Ventilatory management

Surgical Airway

• Indikasi:
1. Laryngeal oedema
2. Severe maxillofacial injury
3. Severe oropharyngeal haemorrhage

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Surgical Airway

1. Cricothyroidotomy

a. percutaneous needle cricothyroidotomy Tiub bersaiz

b. surgical cricothyroidotomy lebih kecil.

2. Tracheostomy

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cricothyroidotomy 53

AIRWAY MANAGEMENT ALGORITHM

Establish unresponsiveness
Airway + Collar/in-line immobilisation of cervical spine

BREATHING NOT BREATHING

ADEQUATE INADEQUATE OBSTRUCTION RESP. ARREST

Partial obstruction Complete obst

O2 via face •Tongue--> Chin lift/Jaw thrust Insert
mask airway
oro/nasopharyngeal airway
•FB/secretions/blood--> suction/removal Bag-valve
•Maxillofacial injury --> reduction mask vent.

Endotracheal intubation
Surgical airway

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