Airway decision making

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AIRWAY MANAGEMENT. DECISION MAKING, STRATEGIES AND CLINICAL OPTIONS MARIO RUGNA 118 FIRENZE SOCCORSO ED ELISOCCORSO

Transcript of Airway decision making

Page 1: Airway decision making

AIRWAY MANAGEMENT.

DECISION MAKING, STRATEGIES AND

CLINICAL OPTIONS

MARIO RUGNA118 FIRENZE SOCCORSO

ED ELISOCCORSO

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•Indication•Clinical targets

•Opportunity•Distance from the ED

•Feasibility•Myself•My Team

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Clinical Targets

•Everytime different

•Clinical decisionmaking

•Theorical and practicalbackground

Technical skills

•Repetivity

•No clinical decisionmaking

• Just theoricalbackground

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•We need to be less concerned about technical skills

• Strategies has to be clinically and not technically oriented

•Having many technical options is a damn good thing

Airway management is part of the whole clinical picture

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Airway management

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The whole picture!

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•Oxygenation

•Ventilation

•Protection

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•Oro-tracheal intubation

•Extra-glottic devices

•Bag valve mask ventilation

•Surgical airway

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TechniqueClinical targets

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Technique

When a plan fails Remember

No Desat!!!

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OxygenationVentilation

Protection

Intubation

Plan A

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OxygenationVentilation

E.G.A.

Plan B

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OxygenationB.V.M.

Plan C

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OxygenationVentilation

Protection

Cric

Plan

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