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Hypoxia - ANSWER ✔✔Deficiency of oxygen
Can result in cardiac dysrhythmia, cardiac arrest, neurologic or brain
damage, and ultimately death
Will occur more rapidly in children secondary to a diminished respiratory
reserve
Signs of an airway obstruction and treatment - ANSWER ✔✔choking,
gagging, suprasternal notch retraction, labored breathing and rapid
pulse initially followed by decreased pulse, respiratory arrest and cardiac
arrest
,TX:
1. 100% O2
2. Trendelenburg position/pack off the surgical site
3. Digital traction of the tongue with gauze, tongue forceps, hemostat or
tongue suture
4. Suction oropharynx
If the tongue continues to fall back
5. nasopharyngeal airway in conscious/semiconscous patient
6. oropharyngeal airway for unconscous
7. Consider using LMA or other supraglottic airway
8. Endotracheal tube
Cricothyrotomy - ANSWER ✔✔Only used when all other methods
have failed.
Quickest, easiest way for surgical airway
Made between the thin cricothyroid membrane between the cricoid and
thyroid cartilages of the larynx.
TX:
, a. cleanse overlying skin
b. locate cricothyroid membrane by palpation
c. utilize the emergency cricothyrotomy needle/ cannula or large gauge
to enter the trachea beneath the vocal cords through the cricothyroid
membrane
d. attach the tube of the crycothyrotomy device to an oxygen source
such as an anesthesia machine or ambu bag and ventilate 100% O2
Tracheostomy - ANSWER ✔✔Surgical airway below the level of the
larynx into the trachea. Usually performed in a hospital setting
Laryngospasm.. what, prevention and how to fix - ANSWER
✔✔WHAT?
Protective relfex of the vocal cords
Crowing sounds and labored respiratory efforts
Characterized by cessation of crowing sounds, suprasternal retraction
and paradoxical chest movement ("rocking" pattern of the chest and
abdomen)
Prevention:
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