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Airway obstruction

Airway obstruction positioning of tongue/Foreign body

QuestionAnswer
Airway obstruction positioning of tongue step #1 100%O2
Airway obstruction positioning of tongue step #2 Place Pt. in trendelenburg and pack off surgical site
Airway obstruction positioning of tongue step #3 Digital traction of the tongue with gauze,tongue forceps,a hemostat or tongue suture
Airway obstruction positioning of tongue step#4 Suction oropharynx
Airway obstruction positioning of tongue: tongue continues to occlude airway step #1 A nasapharyngeal airway can be used in a conscious or semiconscious pt
Airway obstruction positioning of tongue: tongue continues to occlude airway step # 2 In an unconscious pt. an oropharyngeal airway can be used
Airway obstruction positioning of tongue: tongue continues to occlude airway step # 3 Consider using an LMA, igel or other supraglottic (above the level of vocal cords) airway
Airway obstruction positioning of tongue: tongue continues to occlude airway step # 4 Endotracheal intubation
Airway obstruction positioning of tongue : All other options have failed, Cricothyrotomy step #1 Cleanse the overlying skin
Airway obstruction positioning of tongue: All other options have failed, Cricothyrotomy step #2 Locate the cricothyroid membrane by palpation
Airway obstruction positioning of tongue: All other options have failed, Cricothyrotomy step #3 Utilize the emergency cricothyrotomy needle/ cannula kit or large gauge to enter the trachea beneath the vocal cords through the cricothyroid membrane
Airway obstruction positioning of tongue: All other options have failed, Cricothyrotomy step #4 Attach the tube of the cricothyrotomy device to an oxygen source such as an anesthesia machine or ambu bag and ventilate with 100% O2
Airway obstruction of : foreign body step 1 Digital removal of foreign body only if it can be well visualized, do not attempt blind finger sweep that may push object farther down the airway
Airway obstruction of : foreign body step 2 Chest compressions if no airflow during ventilation with PT. in supine. Chest compression s over abdominal thrusts. Heimlich if Pt. is upright
Airway obstruction of : foreign body step 3 Direct laryngoscopy for visualization and retrieval of foreign body with forceps or suction
Airway obstruction of : foreign body step 4 If foreign body cannoy be removed and severe obstruction persists, a cricothrotomy may be necessary
Created by: Oliverhart
 

 



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