《麻醉的气道管理》ppt课件

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1、AirwayManagementEMSProfessionsTempleCollegeTopicsforDiscussionAirwayMaintenanceObjectivesAirwayA&PReviewCausesofRespiratoryDifficulty&DistressAssessingRespiratoryFunctionMethodsofAirwayManagementMethodsofVentilatoryManagementCommonOut-of-HospitalEquipmentUtilizedAdvancedM

2、ethodsofAirwayMgmt&VentilationsRiskstotheParamedicObjectivesofAirwayManagement&VentilationPrimaryObjective:EnsureoptimalventilationDeliveroxygentothebloodEliminatecarbondioxide(C02)fromthebodyDefinitionsWhatisAirwayManagement?Howdoesitdifferfromspontaneous,manualorassiste

3、dVentilations?ObjectivesofAirwayManagement&VentilationWhyisthissoimportant?Braindeathoccursrapidly;OthertissuefollowsEMSproviderscanreduceadditionalinjury/diseaseEMSprovidersoftenneglectBLSairway&ventilationskillsAirwayAnatomyReviewAnatomyoftheUpperAirwayAnatomyoftheLower

4、AirwayLungCapacities/VolumesPediatricAirwayDifferencesAnatomyoftheUpperAirwayFunctions:Warm,Filter,HumidifyNasopharynxformedbyunionoffacialbonesnasalfloortowardsearnoteyelinedwithmucousmembranesandciliatissuesaredelicateandvascularAnatomyoftheUpperAirwayOropharynxTeethTon

5、gueLgmuscleattachedatmandibleandhyoidbonesMostcommonairwayobstructionPalateRoofofmouthSeparatesoro-&nasopharynxAnterior=hardpalate;Posterior=softpalateAnatomyoftheUpperAirwayOropharynxAdenoidslymphtissue-filtersbacteriacommonlyinfectedEpiglottisPreventsaspirationDirectsai

6、rvs.otherVallecula“pocket”formedbythebaseoftongue&epiglottisAnatomyoftheUpperAirwayAnatomyoftheUpperAirwaySinusescavitiesformedbycranialbonesactastributariesforfluidto&fromeustachiantubes&tearductstrapbacteria,commonlyinfectedAnatomyoftheUpperAirwayLarynxattachedtohyoidbo

7、nehyoid:horseshoeshapedbone(cartilage)hyoidsupportstracheathyroidcartilagefirsttrachealcartilage-shieldshapedcartilageanteriorbutsmoothmuscleposterior“Adam’sApple”Glotticopeningdirectlybehind