Airway management
Miscellaneous
Tools used in management/intervention
(Artificial airway)
Infraglottic airway devices
Infraglottic acess (CTR)
Retrograde intubation
Tracheostomy
Cricothyroidotomy
Supraglottic access
Fiber optic devices
Endotracheal tube (ETT)
Supraglottic airway devices
☻Others (PLS!)
Streamlined pharynx airway liner
Laryngeal tube airway
Perilaryngeal airway
☻Other supraglottic airways similar to LMA (SAI)
Intubating laryngeal airway
Ambu laryngeal mask
Soft seal LM
☻Laryngeal mask airway (LMA) family (PF2UC2)
LMA Ctrach
LMA Classic
LMA unique
LMA fastrach
LMA flexible
LMA Proseal
Nasopharyngeal airway (NPA)
Oropharyngeal airway (OPA)
Face mask
Methods of assessment
3.Tests used in assessment
d) Other spaces
Thyroid to hyoid distance
(Normally 2 fingers)
Hyoid to mental distance
(Normally 3 fingers)
Inter-incisor distance
(Normally 3 fingers)
c) SM spaces
Sterno-mental space
Critical distance is 12.5cm
Thyro-mental space
(Normally More than 6.5cm/3fingers)
The blade used during laryngeoscope is called
Miller-blade
if less than 6cm => considered difficult intubation
b) Atlanto-occipital joint
H&N extension
(Normally 35ْ )
a) Oropharynx
Mallapati score
2.Physical examination
(From above downward)
Face/Teeth,tongue/mandibule/neck
Neck(SOLD):
- Short neck
- Obesity
- Limited neck movement
- DOorso-cervical fat pad
Mandibule:
- Limited protrusion of mandibule
- Limited opening of mouth
Teeth:
- Malocclusion overbite of anterior teeth
Tongue:
- Large tongue
Face (Any facial deformities) :
- Receding chin
- Smal SM space
1.History taking(AP3CD/TS)
Snoring or sleep apnea
Tmporo-mandibular joint (TMJ) dysfunction
Dentures or loose teeth
Crvical spine abnormalities
- Cervical spondylosis or ankylosing spondylosis
Previous neck surgery
- Tracheostomy, thyroidectomy
Previous airway problems
- difficult intibations, stenosis, reaction to anaesthesia
Previous Hemi-mandibulectomy
Age
Introduction
2.Steps of airway management
2.2. Intervention
b)Simple maneuvers and airway adjunct devices
a) General guidelines
2.1. Assessment(What to assess?)
b) assessment of airway protection
a) Assessment of airway patency
1.What is airway?
It includes nose/mouth, pharynx, larynx and trachea
It's the normal passage way for air entry/exit in human for good gas exchange @ the lungs
