AIRWAY MANAGEMENT IN EMERGENCIES - PART 8 ppsx
AIRWAY MANAGEMENT IN EMERGENCIES - PART 8 ppsx
... data supporting the useof defasciculating agents prior to succinylcholineuse in brain-injured patients. In practice, suc-cinylcholine is commonly used to facilitate intu-bation in this population.72Succinylcholine ... is an intermediate-acting nondepo-larizing muscle relaxant. An intubating dose of0.1 mg/kg will produce adequate intubating con-ditions within 3 minutes, with effects lastingabout 45 minutes. ... with metocurine preventssuccinylcholine-induced increases in intracranialpressure. Anesthesiology. 1 987 ;67(1):50–53.71. Minton MD, Grosslight K, Stirt JA, et al. Increases in intracranial...
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AIRWAY MANAGEMENT IN EMERGENCIES - PART 2 ppsx
... hemoglo-bin desaturation will occur before return toan unparalyzed state following 1 mg/kg intra-venous succinylcholine. Anesthesiology. 1997 ;87 (4):979– 982 .2. Mort TC. Preoxygenation in critically ... an inappropriate fix-ation on the more invasive technique ofendotracheal intubation. As a potentiallylife-saving skill, BMV is a critical step in oxy-genating a patient before and between intu-bation ... functionallyobstructed airway. Attempted ventilation againstthis obstruction results in a leak at the mask/faceinterface, often resulting in the clinician’s attempt-ing to remedy the problem by pushing downharder...
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AIRWAY MANAGEMENT IN EMERGENCIES - PART 1 pot
... airway edema. It must be appreciated that active airway interventions such as intubation are not withoutcomplications. Intubation for the indications ofobtaining and maintaining a patent airway ... impending complete air-way obstruction. Intubation is indicated in thispatient to obtain and maintain a patent airway and for predicted clinical deterioration. Whilemaking preparations for intubation, ... ETT remains a gold standard for airway management in emergencies. ᭤ INDICATIONS FORENDOTRACHEAL INTUBATION There are four broad categories of indication forendotracheal intubation in emergencies: A....
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AIRWAY MANAGEMENT IN EMERGENCIES - PART 3 pot
... 5–23).Continuously reading capnographs are beingused increasingly in out-of-operating room (OR)environments, using infrared spectrometry tomeasure and display carbon dioxide concentra-tion in inspired ... 2000;91(5):1274–12 78. 32. Aprahamian C, Thompson BM, Finger WA, et al.Experimental cervical spine injury model: evalua-tion of airway management and splinting tech-niques. Ann Emerg Med. 1 984 ;13 (8) : 584 – 587 .33. ... contention by suggest-ing the utility of a head lift 8, 9 in improving laryn-geal view.᭤ POSITIONING IN SPECIALSITUATIONSC-Spine Precautions In the patient requiring C-spine precautions,the...
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AIRWAY MANAGEMENT IN EMERGENCIES - PART 5 pot
... hands-free airway in routine oper-ating room (OR) cases. It has also been suc-cessfully used on many occasions in airway emergencies, both in and out of the OR. It isreasonably easy to insert, ... latex-free and consistof a large-bore airway tube with proximal stan-dard 15-mm connector, and a bowl-shaped dis-tal cuff which is inflated via a valve on an infla-tion line. With the opening ... easier learn-ing curve.C-SPINEPRECAUTIONS In a study comparing intubation using Macin-tosh blade direct laryngoscopy with the Bon-fils stylet, Bullard laryngoscope, or LMA Fas-trach, each...
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AIRWAY MANAGEMENT IN EMERGENCIES - PART 6 pdf
... Trauma. 19 78; 18( 12) :82 3 82 4.15. Bouzarth WF. Intracranial nasogastric tube inser-tion. J Trauma. 19 78; 18( 12) :81 8 81 9.16. Horellou MF, Mathe D, Feiss P. A hazard of naso-tra-cheal intubation. ... facilitatetracheal intubation, and that intubation in turnis only one facet of airway management. ᭤ RSI IN EMERGENCIES: WHYUSE IT?RSI is being used increasingly in emergencydepartments and selected ... by applying2% lidocaine jelly to, and inserting a nasopha-ryngeal airway, or using a cotton pledgetsoaked with 2% lidocaine with epinephrine.Alternatively, one of the previously men-tioned...
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AIRWAY MANAGEMENT IN EMERGENCIES - PART 7 ppt
... stacking and “auto-PEEP.” Acci-dental hyperventilation is also undesirable in the head-injured patient without appropriateindications. Most self-inflating manual resuscita-tors contain a volume ... patients requiring airway management in emergencies will need to be intubated. Mostintubations in emergencies are facilitated bydirect laryngoscopy, so a good starting point forthe airway evaluation ... Stridor in par-ticular indicates an airway that is alreadycritically narrowed. The concern in thesepatients is that by administering sedativeor induction agents, a tenuous airway being maintained...
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AIRWAY MANAGEMENT IN EMERGENCIES - PART 9 ppt
... goals in man-aging this patient’s airway include the following: • Attenuation or control of patient hemody-namics with judicious pharmacologicalintervention, seeking: ⅙ Minimal increase in ... nebulized epinephrine aerosol mayhelp temporarily shrink the edematous com-ponent.12,13• In certain cases of angioedema, a conserva-tive approach including the use of epineph-rine may reverse ... by The McGraw-Hill Companies, Inc. Click here for terms of use. 41. Manoach S, Paladino L. Manual In- Line Stabiliza-tion for Acute Airway Management of SuspectedCervical Spine Injury: Historical...
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AIRWAY MANAGEMENT IN EMERGENCIES - PART 10 doc
... in skills acquisitionforaffective performance, 285 – 286 , 285 fanxiety, 287 – 288 cognitive performance, 284 – 285 effort needed, 288 ego, 288 importance of helpers, 286 – 287 inconvenience, 288 – 289 psychological ... 68 69, 70ftracheal tube introducer fordescription, 80 , 81 feffectiveness, 83 84 indications, 80 technique, 80 82 , 81 84 ftroubleshooting, 82 83 EEdentulous patient, bag-maskventilation in, ... SeeVideolaryngoscopytransport issues, 185 – 186 , 185 tTracheal tube introducer (bougie)description, 80 , 81 feffectiveness, 83 84 indications, 80 technique, 80 82 , 81 84 ftroubleshooting, 82 83 Tracheotomy, awake,...
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Environmental Management in Practice Part 8 pdf
... SO2 5 .88 6.53 565 200 1320 1,260 122 680 NO2 5.19 5.77 352 1 48 575 41.0 3.99 22.2 CO 0.73 0 .81 266 115 2060 586 57.0 317 VOC 43.5 48. 4 88 .3 116 177 45 .8 4.46 24 .8 FP 1. 78 1. 98 17.4 6.77 ... 7 0 -8 0% of the manufacturing facilities operating within the medium and large-scale industries are located there in. The major industrial estates in Lagos are: Ikeja, Agidingbi, Amuwo Odofin ... waste management methods including: - production, planning and sequencing - process adjustment and/or modification - raw material replacement - housekeepingwaste segregation ans seperation -...
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