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2. WHY AIRWAY REVIEW?. . Most important aspect of patient care (?)Failure = Gravest Consequence . . 3. WHY AIRWAY REVIEW?. . Many Quality Assurance Concerns:-Gausche et al study -PALS update -Burton et al study-Kendall et al study-Marcolini et al study. . 4. MAINE'S PLAN. . These Concerns led MDPB to do a comprehensive review of the current airway protocol and create the new
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3. 3 WHY AIRWAY REVIEW?
4. 4 MAINES PLAN
5. 5 AIRWAY PROTOCOL
6. 6 AIRWAY PROTOCOL
7. 7 MANDATORY EQUIPMENT
8. 8 MANDATORY EQUIPMENT
9. 9 OPTIONAL EQUIPMENT
10. 10 AIRWAY PROTOCOL
11. 11 TRAINING OBJECTIVES
12. 12 ANATOMY REVIEW
13. 13 OXYGENATION IS GOOD
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17. 17 AIRWAY ALGORITHM A step by step approach at evaluating each patients ability to maintain an open airway.
Immediate corrective actions based on this assessment
A constant reassessment of current procedures to determine the need to be more or less aggressive in the best interest to the patient.
18. 18 STEP 1. OPEN AND CLEAR
19. 19 STEP 2. KEEP IT OPEN
20. 20 STEP 2. KEEP IT OPEN
21. 21 STEP 3. VENTILATE (BLS)
22. 22 STEP 3. VENTILATE (BLS)
23. 23 Approximate normal ventilation rates:
10 bpm Adult
20 bpm Child
25 bpm Infant With regards to respiratory rates, the BTF values of 10, 20, and 25 are ventilation rates when bagging a patient to maintain normocarbia.
This is different than the normal breathing rates in an adult, children or infant. The BTF numbers are close to the American Heart Associations CPR values for assisted breathing.
Before I show you the rates for hyperventilation, lets first talk about the effects of hyperventilation in the severe TBI patient.With regards to respiratory rates, the BTF values of 10, 20, and 25 are ventilation rates when bagging a patient to maintain normocarbia.
This is different than the normal breathing rates in an adult, children or infant. The BTF numbers are close to the American Heart Associations CPR values for assisted breathing.
Before I show you the rates for hyperventilation, lets first talk about the effects of hyperventilation in the severe TBI patient.
24. 24 STEP 3. VENTILATE (BLS)
25. 25 STEP 3. VENTILATE (BLS)
26. 26 STEP 4. CONTROL THE AIRWAY
27. 27 STEP 4. CONTROL THE AIRWAY
28. 28 STEP 4. CONTROL THE AIRWAY
29. 29 STEP 4. CONTROL THE AIRWAY
30. 30 STEP 4. CONTROL THE AIRWAY
31. 31 STEP 4. CONTROL THE AIRWAY
32. 32 STEP 4. CONTROL THE AIRWAY
33. 33 STEP 4. CONTROL THE AIRWAY
34. 34 STEP 4. CONTROL THE AIRWAY
35. 35 STEP 4. CONTROL THE AIRWAY
36. 36 STEP 4. CONTROL THE AIRWAY
37. 37 STEP 4. CONTROL THE AIRWAY
38. 38 STEP 4. CONTROL THE AIRWAY
39. 39 STEP 4. CONTROL THE AIRWAY
40. 40 STEP 4. CONTROL THE AIRWAY
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44. 44 STEP 5. CONFIRM THE AIRWAY
45. 45 STEP 6. SECURE THE AIRWAY
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66. 66 WHY AN ALGORITHM?
67. 67 Questions?
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