呼吸道通氣方法 ALS3課件

1、Airway & Ventilation Methods: ALSCurved (Macintosh) BladeVisualize anatomy Insert from right to leftLift upward and awayBlade in valleculaLift epiglottis indirectlyFrom AHA ACLSAirway & Ventilation Methods: ALSStraight (Miller) BladeVisualize anatomy Insert from right to left moving tongue awayLift

2、upward and awayBlade past vallecula and over epiglottisLift epiglottis directlyFrom AHA ACLSTube PositioningFrom TRIPP, CPEMAirway & Ventilation Methods: ALSBlind Nasotracheal IntubationPosition & Oxygenate patientMonitor patientECG MonitorPulse oximeterAssess for BNI difficulty or contraindicationA

3、ssemble & check equipmentLubricate end of tube; Do not warmAttach BAAM (if available)Airway & Ventilation Methods: ALSBlind Nasotracheal Intubation (cont)Position patient (preferably sitting upright)Insert tube into largest nareAdvance slowly but steadilyListen for sound of whistle via BAAMAdvance t

4、ubeInflate cuff & Assess placementSecure & ReassessAirway & Ventilation Methods: ALSDigital IntubationBlind technique Variable probability of successUsing middle fingers to locate epiglottisLift epiglottisSlide lubricated tube along side fingersAssess tube placement & depth as with orotracheal intub

5、ationAirway & Ventilation Methods: ALSDigital IntubationFrom AMLS, NAEMTAirway & Ventilation Methods: ALSSurgical CricothyrotomyTipsKnow your anatomyShort incision, avoid inferior tracheaIncise, Do not sawWork quickly. Have a planBe prepared with a backup planAirway & Ventilation Methods: ALSNeedle Cricothyrotomy & Transtracheal Jet VentilationIndicationsSame as surgical cricothyrotomy along withContraindication for surgical crico