呼吸道通气方法BLSALS

会计学1呼吸道通气方法呼吸道通气方法BLSALS第1页/共11页Airway&Ventilation Methods:BLS&ALSn nEsophageal Obturator Airway&Esophageal Gastric Tube Airwayn nUsed less frequently todayUsed less frequently todayn nIncreased complication rateIncreased complication raten nSignificant contraindicationsSignificant contraindicationsn nBetter alternative airways are now Better alternative airways are now availableavailable第1页/共11页第2页/共11页LMA第2页/共11页第3页/共11页Esophageal Gastric Tube Airway(EGTA)From AHA ACLS第3页/共11页第4页/共11页Airway&Ventilation Methods:BLS&ALSn nLighted Styletten nNot yet widespread useNot yet widespread usen nexpensiveexpensiven nAnother method of visual feedback re.placement in Another method of visual feedback re.placement in tracheatrachea第4页/共11页第5页/共11页Airway&Ventilation Methods:ALS第5页/共11页第6页/共11页Airway&Ventilation Methods:ALSn nPharmacologic Assisted Intubation(“RSI”)n nSedationSedationn nReduce anxietyReduce anxietyn nInduce amnesiaInduce amnesian nDepress gag reflex&spontaneous Depress gag reflex&spontaneous breathingbreathingn nUsed forUsed forn ninductioninductionn nanxious or agitated patientanxious or agitated patientn nContraindicationsContraindicationsn nhypersensitivityhypersensitivityn nhypotensionhypotension第6页/共11页第7页/共11页Airway&Ventilation Methods:ALSn nPharmacologic Assisted Intubation(“RSI”)n nCommon Medications for Common Medications for Sedation/InductionSedation/Inductionn nBenzodiazepines(diazepam,midazolam)Benzodiazepines(diazepam,midazolam)n nNarcotics(fentanyl)Narcotics(fentanyl)n nAnesthesia Induction AgentsAnesthesia Induction Agentsn netomidateetomidaten nketamineketaminen npropofol(Diprivan)propofol(Diprivan)第7页/共11页第8页/共11页Airway&Ventilation Methods:ALSn nPharmacologic Assisted Intubation(“RSI”)n nNeuromuscular Blockade Neuromuscular Blockade n nInduces temporary skeletal muscle Induces temporary skeletal muscle paralysisparalysisn nIndicationsIndicationsn nWhen Intubation is required in a patient When Intubation is required in a patient whowhon nis awake,is awake,n nhas a gag reflex,orhas a gag reflex,orn nis agitated or combativeis agitated or combative第8页/共11页第9页/共11页第9页/共11页第10页/共11页