ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBATION AND DIFFICULT AIRWAY MANAGEMENT
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ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBATION AND DIFFICULT AIRWAY MANAGEMENT
- 1. ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBATION AND DIFFICULT AIRWAY MANAGEMENT Bassel Ericsoussi, MD Pulmonary and Critical Care Fellow University of Illinois at Chicago
- 26. If O2 sat falls by 5% or < 90%, the attempt should be aborted and the pt should receive BMV Direct laryngoscope (DL) causes laryngeal edema, repeated DL may cause failure to intubate and failure to ventilate Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow OROTRACHEAL INTUBATION
- 28. You should always achieve the best possible view of the vocal cords before attempting to insert the endotracheal tube Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow OROTRACHEAL INTUBATION
- 30. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 32. Transverse view showing ETT Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 33. Longitudinal view showing ETT Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 34. ETT Position Tube position OK Confirm with auscultation, ETCO2 Translaryngeal Ultrasound Tip visible Intratracheal Remove and reintubate May be too high, measure distance below VC Pleural Ultrasound Bilateral sliding pleura Unilateral sliding pleura Mainstem intubation Pull tube back 1-2 cm Yes Yes No No Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 38. MODIFIED MALLAMPATI CLASSIFICATION open mouth, stick out tongue without saying “aah” Soft palate Uvula Posterior pharynx Soft palate Uvula Portion of posterior pharynx Soft palate Soft palate obscured by base of tongue Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 41. INITIAL APPROACH / PREPARATION Initial Intubation Attempts Unsuccessful BVM Adequate Non-Emergency Pathway Can Ventilate, Can’t Intubate BVM Not Adequate Consider LMA LMA Adequate LMA Not Adequate or Not Feasible Emergency Pathway Can’t Ventilate Can’t Intubate Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 47. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 48. LMA Classic Low pressure mask (20 cm H2O) Airway tube Inflation Line LMA Proseal Larger mask (30 cm H2O) Drain tube Airway tube Inflation Line LMA Flaccid Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 51. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 58. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 59. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 61. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 62. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 63. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 64. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 65. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow
- 66. Bassel Ericsoussi, MD. Pulmonary and Critical Care Fellow