Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
ABC of Resuscitation
Breathing: provide
positive-pressure
ventilations
Defibrillation: shock
VF/pulseless VT
Airway :
airway
provide advanced
management
Circulation :
obtain IV access
determine rhythm
give medications
Airway Management
Institute positive-pressure
ventilation when spontaneous
breathing is inadequate or
absent
Airway Obstruction
Most common cause:
loss of tonicity of submandibular
muscles
posterior displacement of tongue
and/or epiglottis
Head tilt
Chin Lift
Jaw Thrust
Trias
manouvers
Jaw Thrust
Airway devices
1. Oropharyngeal Airway
2. Nasopharyngeal Airway
Oropharyngeal Airway
Technique
As airway
approaches the
posterior wall of the
pharynx rotate 180
degrees
Malposition of Oropharyngeal
Airway
Nasopharyngeal Airway
Technique
Airway is
lubricated with
anesthetic jelly
Resistance
slight rotation of
the tube
Oxygen supply
Nasal cannula
Face mask
Face mask with oxygen
reservoir
Venturi mask
Nasal Cannula
Starting device
Provides up to
44% oxygen
Nasal Cannula
4 L/min: 36 %
2 L/min: 28%
5 L/min: 40%
3 L/min: 32%
6L/min: 44%
Face Mask
O2
concentration
up to 60 % can
be supplied
through face
mask at 6 to
10 L / min
Provides up to 90 %100% O2
6L/min: 60% O2
7L/min: 70% O2
8L/min: 80% O2
9L/min: 90% O2
10L/min: ~ 100% O2
Venturi Mask
Patients with
chronic hypercarbia
(high CO2) and
moderate to severe
hypoxemia
Mouth to Mouth /
Mouth to Nose Ventilation
Mouth-to-Mask Ventilation
Pocket Mask
Device
1-way valve
Port to attach O2
source
Mouth-to-Mask Ventilation
Advantages
Provides effective ventilation and
oxygenation
Eliminates direct contact
Can administer O2
Eliminates exposure to exhaled
gases
Easy to teach and learn
Mouth-to-Mask Ventilation
1-rescuer
technique;
performed from
side
Rescuer slides over
for chest
compressions
Fingers: head tilt
chin lift
Mouth-to-Mask Ventilation
Bag-Mask Ventilation
1-Person:
difficult, less
effective
2-Person:
easier, more
effective
Bag-Mask Ventilation
Advantages
Advanced Ventilation
1.
2.
3.
Tracheal Intubation
Laryngeal Mask Airway
Combitube
Tracheal Intubation
Indications
Laryngoscope with
several blades
Tracheal tubes
Malleable stylet
10-mL syringe
Magill forceps
Water-soluble lubricant
Macintosh
Miller
Vocal
cord
Arytenoid
cartilage
Cricoid Pressure
Tracheal Intubation
Advantages
Tracheal Intubation
Indications
Tracheal Intubation
Recommendations
Tracheal Intubation
Complications
Esophageal-Tracheal
Combitube
E
Distal End
A
C
Proximal End
H
D
Esophageal-Tracheal
Combitube
THANK
YOU
4.
5.
6.
7.
PENGANTAR ANESTESIOLOGI
FARMAKOLOGI KLINIK OBAT-OBAT ANESTESIA
PERSIAPAN PRA ANESTESIA DAN PERAWATAN
PASKA ANESTESIA
ANASTESIA LOKAL DAN REGIONAL
PENATALAKSANAAN JALAN NAFAS
RESUSITASI JANTUNG PARU
TERAPI OKSIGEN