Airway management

LMAs● LMALMA-LMA-Flex ibleLMA-Flexible● LMALMA-LMA-Fas trach● LMALMA-LMA-Pro sealLMA-Proseal● LMA

LMA-Flexible

LMA-Fastrach

endotracheal tube stabilizing rodLMA-Fastrach

LMA-Proseal gastric sump tubeendotracheal tube



LMA



LMA Size & Patient Weight



End-to-end relationship of LMA to natural airway structures

การใส LMA● Details about this topic● Supporting information and examples● How it relates to your audience

● Give an example or real life anecdote● Sympathize with the audience’s situation if appropriate

● Add a strong statement that summarizes how you feel or think about this topic● Summarize key points you want





การใสLMA-Fastrach







Epiglottic elevating bar lifts as endotracheal tube exits the bowl ofthe Fastrach







Benefits of LMA● Permit ventilation when mask ventilation & intubation have failed● Permit lighter depth of anesthesia● Facilitates blind or fiberoptic intubation● Better airway for fiberoptic bronchoscopy● Easier to learnLimitations of LMA● Difficult to achieve proper position LMA● Gas leak when AP > 20 cmH2O● Spontaneous ventilation● No protection against aspiration & laryngospasm

Cricothyrotomy set

CRICOTHYROTOMY

SurgicalCricothyrotomy

SurgicalCricothyrotomy

SurgicalCricothyrotomy

SurgicalCricothyrotomy

SurgicalCricothyrotomy

SurgicalCricothyrotomy

SurgicalCricothyrotomy

SurgicalCricothyrotomy

●vDteonepJttiaiEcliaTltsioanbout this● Supporting information and examples● How it relates to your audience

Jet ventilation

3 sites used for jet ventilation supraglottic jet ventilation subglottic jet ventilation transtracheal jet ventilation Ian Calder, Core topics in airway management, 1 st ed, 2005.

Combitube

การใสCombitube







Benefits of Combitube● Rapid placement esp. neutral position● Protect against aspiration● Easier to learnLimitations of Combitube● Difficult to use in awake● Esophageal damage● Inability to clear trachea by suction

Lightwand



Tube ExchangerCat No.Size I.D(mm) Lenght(cm)0 2.5-4 562 4-6 814 6-8.5 816 7.5-10 81



Fiberoptic