tailieunhanh - AIRWAY MANAGEMENT IN EMERGENCIES - PART 8

Thiết bị khác extraglottic, theo sở thích thể chế F. phẫu thuật: • Kim-hướng dẫn thiết lập cricothyrotomy qua da, ví dụ, Melker PCK, với còng ống • thiết bị phẫu thuật cricothyrotomy: dao xử lý, # 11 lưỡi, móc khí quản, nư trang của cô dâu gân | RESPONSE TO AN ENCOUNTERED DIFFICULT AIRWAY 209 o Other extraglottic device according to institutional preference F. Surgical Needle-guided percutaneous cricothyro-tomy set for example Melker or PCK with cuffed cannula Surgical cricothyrotomy equipment scalpel handle 11 blade tracheal hook Trousseau dilator ETT Shiley cuffed tracheostomy 4 tubes G. Other Equipment End-tidal CO2 ETCO2 detector Twill tape Esophageal detector device EDD for example 60 cc catheter-tip Toomey syringe 10 cc syringes for cuff inflation Suction catheters rigid tonsillar . Yankauer and flexible endotracheal tube suction catheters Magill forceps Bite blocks Adult airway exchange catheter Materials for application of topical airway anesthesia tongue depressors Mucosal Atomization Device . MADgic or DeVilbiss atomizer Jackson forceps cotton pledgelets Lidocaine 10 spray 2 gel 5 ointment 4 liquid Sample Pediatric Equipment Note Departments with significant pediatric volumes may wish to consider organizing equipment in a color-coded fashion according to Broselow tape sizes. Broselow tape Oxygen masks newborn pediatric Manual resuscitator with infant and childsized masks Oral airways 5 6 7 cm Laryngoscope blades straight . Miller 0 1 2 curved Macintosh 1 2 and 3 ETT uncuffed 2 cuffed and uncuffed 3 4 cuffed 5 6 7 Stylet 6 Fr 8 Fr Bougie pediatric LMA 1 2 3 or other pediatric extra-glottic devices - Lightwand infant and child sizes - Pediatric fiberoptic stylet Shikani or Brambrinck Small Magill forceps ETCO2 detector pediatric size 18 16 and 14 G IV catheters for cricothy-rotomy Finally the presence of an airway drug kit with all the necessary pharmacologic agents in one location is highly recommended. This page intentionally left blank CHAPTER 13 Airway Pharmacology KEY POINTS For the patient requiring emergency airway management preservation of oxygenation and blood pressure often takes priority over attenuation of undesirable reflexes. There is .