#JanuAIRWAY Day 15. The Obstructed Airway – Think NOLIMBS
- Nasal/Nasopharyngeal-
- Oral/Oropharyngeal
- Laryngeal
- Infra-glottic – extra/intrathoracic
- Malacias
- Bleeding
- SVC Obstruction
Here's #OnePager outlining the general approach #FOAMed
1/7
- Nasal/Nasopharyngeal-
- Oral/Oropharyngeal
- Laryngeal
- Infra-glottic – extra/intrathoracic
- Malacias
- Bleeding
- SVC Obstruction
Here's #OnePager outlining the general approach #FOAMed
1/7
Lets focus on Nasal/Oral Obstruction.
Possible issues:
- low tone Risks total obstruction
- Distorted anatomy
- NP/OP airway too short?
- +++jaw thrust may/may not relieve obstruction
- Difficult BVM/laryngoscopy
- +++ laryngoscopy may make manageable unmanageable (e.g.bleeding)
Possible issues:
- low tone Risks total obstruction
- Distorted anatomy
- NP/OP airway too short?
- +++jaw thrust may/may not relieve obstruction
- Difficult BVM/laryngoscopy
- +++ laryngoscopy may make manageable unmanageable (e.g.bleeding)
Planning in airway obstruction = Key. NASENDOSCOPY can save lives here! ASSESSMENT informs STRATEGY. Let’s revisit some #OnePagers on key questions and airway planning. Remember the decision-making process is multifactorial (maintain situational awareness).
#JanuAIRWAY 3/7
#JanuAIRWAY 3/7
@Vapourologist s’ choices:
•Awake/asleep technique
•Device on face/in face/thru neck
•To Paralyse or Not
•Airway device in/out at end
In severe obstruction awake techniques may be best:
•ATI
•Awake transtracheal catheter & asleep FOI
•Awake tracheostomy
#JanuAIRWAY 4/7
•Awake/asleep technique
•Device on face/in face/thru neck
•To Paralyse or Not
•Airway device in/out at end
In severe obstruction awake techniques may be best:
•ATI
•Awake transtracheal catheter & asleep FOI
•Awake tracheostomy
#JanuAIRWAY 4/7
Here are some papers / links that you might find interesting:
a. bjaed.org
b. associationofanaesthetists-publications.onlinelibrary.wiley.com
c. anaesthesiology.gr
d. onlinelibrary.wiley.com
e. journals.lww.com
#JanuAIRWAY 5/7
a. bjaed.org
b. associationofanaesthetists-publications.onlinelibrary.wiley.com
c. anaesthesiology.gr
d. onlinelibrary.wiley.com
e. journals.lww.com
#JanuAIRWAY 5/7
anaesthesiology.gr/media/File/pdf…
bjaed.org/article/S2058-…
Management of airway obstruction
Anaesthetists are experts in airway management, but serious complications of airway management still...
…-publications.onlinelibrary.wiley.com/doi/10.1111/an…
Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adults
Awake tracheal intubation has a high success rate and a favourable safety profile but is underused i...
onlinelibrary.wiley.com/doi/full/10.11…
Upper airway obstruction in children
Click on the article title to read more.
journals.lww.com/johnajournal/F…
The value of preoperative endoscopic airway examination in... : Journal of Head and Neck Anesthesia
The preoperative endoscopic airway examination, also commonly called nasal endoscopy, or nasendoscop...
How would you manage severe supraglottic airway obstruction? Vote and leave a comment 6/7
Hope that helps. We'll be back tomorrow, with more Airway #FOAMed. See you then! #JanuAIRWAY 7/7
*Disclaimer: Inclusion of content (equipment, techniques and scoring systems etc.) in #JanuAIRWAY does not constitute DAS endorsement
*Disclaimer: Inclusion of content (equipment, techniques and scoring systems etc.) in #JanuAIRWAY does not constitute DAS endorsement
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