airway maneuver & basic airway device

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Airway Maneuver & Basic Airway Device 1 Airway Anatomy Axis & Repositioning technique Head Tilt / Chin Lift / Jaw Thrust SniPosition Manual-in-line stabilization of C-Spine Basic Airway Devices : Naso-Oropharyngeal airway Test of Maxillar instability for injury

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Airway maneuver & basic airway device

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Page 1: Airway maneuver & basic airway device

Airway Maneuver & Basic Airway Device

1

Airway Anatomy Axis & Repositioning technique

Head Tilt / Chin Lift / Jaw ThrustSniff Position

Manual-in-line stabilization of C-SpineBasic Airway Devices :

Naso-Oropharyngeal airwayTest of Maxillar instability for injury

Page 2: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

1Anatomy เมื่อนอนราบ

Page 3: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

1Anatomy เมื่อ Sniff position

Page 4: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

1Anatomy เมื่อแหงนเกินไป

Page 5: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

1

Anatomy เมื่อทํา BURP

Page 6: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

1

Page 7: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

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Page 8: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

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Page 9: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

1ทางเดินหายใจเมื่อรู้สึกตัว

ทางเดินหายใจเมื่อหมดสติ

Page 10: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

1

ทางเดินหายใจเมื่อจัดท่า

Page 11: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

1<- ผู้ป่วยอ้วน หน้าอกจะยกสูง

การจัดท่าขอให้ยึดศีรษะสูงกว่าระดับกระดูกอก 10-15cm ->

Page 12: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Page 13: Airway maneuver & basic airway device

การใส่ Nasopharyngeal

Airway

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การวัดเลือกขนาด Oropharyngeal Airway

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

Page 15: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

1

การใส่ Oropharyngeal Airway

Page 16: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

1การทํา Jawthrust ในผู้ป่วยหมดสติ+ให้ Oxygen mask ดังรูป ทํากรณีระหว่างเตรียมใส่ท่อช่วยหายใจเท่านั้น

Page 17: Airway maneuver & basic airway device

1Le Fort fracture classification

Page 18: Airway maneuver & basic airway device

Oxygen Therapy

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Oxygen dissociation curveDevice for Oxygen therapy

Calculation and practical use of Oxygen therapy

Page 19: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

2

ผู้ป่วยอ้วน จะ Hypoxia ได้ง่าย

ที่สุด

Page 20: Airway maneuver & basic airway device

Ref : BMJ 2006; 333 : 34 doi: 10.1136/bmj.333.7557.34 (Published 29 June 2006)

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Page 21: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Page 22: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Page 23: Airway maneuver & basic airway device

Ref : การบําบัดด้วยออกซิเจน ผศ.นพ.วรสรวง ทองสุข

2

Page 24: Airway maneuver & basic airway device

Ref : การบําบัดด้วยออกซิเจน ผศ.นพ.วรสรวง ทองสุข

2

Page 25: Airway maneuver & basic airway device

Ref : การบําบัดด้วยออกซิเจน ผศ.นพ.วรสรวง ทองสุข

2

Page 26: Airway maneuver & basic airway device

Ref : การบําบัดด้วยออกซิเจน ผศ.นพ.วรสรวง ทองสุข

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Page 27: Airway maneuver & basic airway device

with O2 reservoir

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Positive Pressure Ventilation

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Bag-Mask VentilationDevices in Positive Pressure Ventilation

Cricoid pressureLaryngeal Manipulation technique

Page 29: Airway maneuver & basic airway device

เลือกแบบที่เหมาะสมฟิตพอดีกับผู้ป่วย

Page 30: Airway maneuver & basic airway device
Page 31: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Page 32: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Page 33: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

3

Page 34: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

3

Page 35: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

3

Page 36: Airway maneuver & basic airway device

Cricoid pressure

Page 37: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

3

Page 38: Airway maneuver & basic airway device

Intubation

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AnatomyLarygoscopic view (Cormack & Lehane

classification)ETT and Stylet preparation

Devices

Page 39: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Macintosh blade Miller blade

Page 43: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Page 44: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Page 47: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

4

Page 49: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

4

Page 50: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

4

Page 51: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Page 54: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

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Page 58: Airway maneuver & basic airway device

Ref : The Advanced Airway Course : Peter Kas

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Alternative Airway Device

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Ref : John McGill,MD Airway Management in Trauma : An Update ; Emerg Med Clin N Am 25(2007) 603-622

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Page 63: Airway maneuver & basic airway device

Ref : John McGill,MD Airway Management in Trauma : An Update ; Emerg Med Clin N Am 25(2007) 603-622

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end

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6 lecture

Page 67: Airway maneuver & basic airway device

Ref : GEORGE KOVACS J.ADAM LAW ; AIRWAY MANAGEMENT IN EMERGENCIES ; Mc GrawHill

1

การจัดท่าในเด็กเล็ก

Page 68: Airway maneuver & basic airway device
Page 69: Airway maneuver & basic airway device

การจัดท่าในเด็กเล็ก <2 ปีให้หนุนไหล่

Page 70: Airway maneuver & basic airway device

เด็กเล็ก <2 ปี หนุนไหล ่เพราะศีรษะโต

เด็กเกิน 2 ปี ทํา Sniff position ได้

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Smoke Inhalation

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Facial burn : พิจารณา ETT อย่าง

รวดเร็ว

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Burn in closed space : Carbon monoxide poisoning

Page 74: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

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Page 75: Airway maneuver & basic airway device

Ref : J Benger J Nolan M Clancy ; Emergency Airway Management ; CAMBRIDGE

4

MV = TVxRR

Page 76: Airway maneuver & basic airway device