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Topik_3_Airway and Ventilatory management

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Published by sridzuaniah, 2019-06-24 02:21:21

Topik_3_Airway and Ventilatory management

Topik_3_Airway and Ventilatory management

Surgical Airway

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

51

Surgical Airway

1. Cricothyroidotomy

a. percutaneous needle cricothyroidotomy Tiub bersaiz

b. surgical cricothyroidotomy lebih kecil.

2. Tracheostomy

52

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

54


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