麻醉的气道管理-13页文档资料
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Definitions
What is Airway Management?
How does it differ from spontaneous,
manual or assisted Ventilations?
Objectives of Airway Management & Ventilation
AnatomBiblioteka of the Upper Airway
Oropharynx
Adenoids
lymph tissue - filters bacteria commonly infected
Epiglottis
Prevents aspiration Directs air vs. other
Vallecula
谢谢！
Airway Management
EMS Professions Temple College
Topics for Discussion
Airway Maintenance Objectives Airway A&P Review Causes of Respiratory Difficulty & Distress Assessing Respiratory Function Methods of Airway Management Methods of Ventilatory Management Common Out-of-Hospital Equipment Utilized Advanced Methods of Airway Mgmt & Ventilations Risks to the Paramedic
Functions: Warm, Filter, Humidify Nasopharynx
formed by union of facial bones nasal floor towards ear not eye lined with mucous membranes and cilia tissues are delicate and vascular
Objectives of Airway Management & Ventilation
Primary Objective:
Ensure optimal ventilation
Deliver oxygen to the blood Eliminate carbon dioxide (C02) from the body
“pocket” formed by the base of tongue & epiglottis
Anatomy of the Upper Airway
Anatomy of the Upper Airway
Sinuses
cavities formed by cranial bones
act as tributaries for fluid to & from eustachian tubes & tear ducts
Anatomy of the Upper Airway
Oropharynx
Teeth Tongue
Lg muscle attached at mandible and hyoid bones Most common airway obstruction
Palate
Roof of mouth Separates oro- & nasopharynx Anterior=hard palate; Posterior=soft palate
Why is this so important?
Brain death occurs rapidly; Other tissue follows EMS providers can reduce additional injury/disease EMS providers often neglect BLS airway & ventilation skills
trap bacteria, commonly infected
Anatomy of the Upper Airway
Larynx
attached to hyoid bone
hyoid: horseshoe shaped bone (cartilage) hyoid supports trachea
thyroid cartilage
first tracheal cartilage - shield shaped cartilage anterior but smooth muscle posterior “Adam’s Apple” Glottic opening directly behind
Airway Anatomy Review
Anatomy of the Upper Airway Anatomy of the Lower Airway Lung Capacities/Volumes Pediatric Airway Differences
Anatomy of the Upper Airway
What is Airway Management?
How does it differ from spontaneous,
manual or assisted Ventilations?
Objectives of Airway Management & Ventilation
AnatomBiblioteka of the Upper Airway
Oropharynx
Adenoids
lymph tissue - filters bacteria commonly infected
Epiglottis
Prevents aspiration Directs air vs. other
Vallecula
谢谢！
Airway Management
EMS Professions Temple College
Topics for Discussion
Airway Maintenance Objectives Airway A&P Review Causes of Respiratory Difficulty & Distress Assessing Respiratory Function Methods of Airway Management Methods of Ventilatory Management Common Out-of-Hospital Equipment Utilized Advanced Methods of Airway Mgmt & Ventilations Risks to the Paramedic
Functions: Warm, Filter, Humidify Nasopharynx
formed by union of facial bones nasal floor towards ear not eye lined with mucous membranes and cilia tissues are delicate and vascular
Objectives of Airway Management & Ventilation
Primary Objective:
Ensure optimal ventilation
Deliver oxygen to the blood Eliminate carbon dioxide (C02) from the body
“pocket” formed by the base of tongue & epiglottis
Anatomy of the Upper Airway
Anatomy of the Upper Airway
Sinuses
cavities formed by cranial bones
act as tributaries for fluid to & from eustachian tubes & tear ducts
Anatomy of the Upper Airway
Oropharynx
Teeth Tongue
Lg muscle attached at mandible and hyoid bones Most common airway obstruction
Palate
Roof of mouth Separates oro- & nasopharynx Anterior=hard palate; Posterior=soft palate
Why is this so important?
Brain death occurs rapidly; Other tissue follows EMS providers can reduce additional injury/disease EMS providers often neglect BLS airway & ventilation skills
trap bacteria, commonly infected
Anatomy of the Upper Airway
Larynx
attached to hyoid bone
hyoid: horseshoe shaped bone (cartilage) hyoid supports trachea
thyroid cartilage
first tracheal cartilage - shield shaped cartilage anterior but smooth muscle posterior “Adam’s Apple” Glottic opening directly behind
Airway Anatomy Review
Anatomy of the Upper Airway Anatomy of the Lower Airway Lung Capacities/Volumes Pediatric Airway Differences
Anatomy of the Upper Airway