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    Anesthesia Images (All in On

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    pvsvr
    This document provides information on various airway management devices and techniques used in anesthesia. It discusses the Mallampati scoring system for airway assessment. It also describes different types of airway devices like oropharyngeal airways, nasopharyngeal airways, laryngeal mask airways, endotracheal tubes, and laryngoscopes. It provides details on equipment like the anesthesia machine, Mapleson circuits, Bain circuit, and circle system. Sizing and placement of endotracheal tubes is also covered.

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    Anesthesia Images (All in On

    Uploaded by

    pvsvr
    133 views100 pages
    This document provides information on various airway management devices and techniques used in anesthesia. It discusses the Mallampati scoring system for airway assessment. It also describes different types of airway devices like oropharyngeal airways, nasopharyngeal airways, laryngeal mask airways, endotracheal tubes, and laryngoscopes. It provides details on equipment like the anesthesia machine, Mapleson circuits, Bain circuit, and circle system. Sizing and placement of endotracheal tubes is also covered.

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    Anesthesia Images (all in on

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    This document provides information on various airway management devices and techniques used in anesthesia. It discusses the Mallampati scoring system for airway assessment. It also describes different types of airway devices like oropharyngeal airways, nasopharyngeal airways, laryngeal mask airways, endotracheal tubes, and laryngoscopes. It provides details on equipment like the anesthesia machine, Mapleson circuits, Bain circuit, and circle system. Sizing and placement of endotracheal tubes is also covered.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    133 views100 pages

    Anesthesia Images (All in On

    Uploaded by

    pvsvr
    This document provides information on various airway management devices and techniques used in anesthesia. It discusses the Mallampati scoring system for airway assessment. It also describes different types of airway devices like oropharyngeal airways, nasopharyngeal airways, laryngeal mask airways, endotracheal tubes, and laryngoscopes. It provides details on equipment like the anesthesia machine, Mapleson circuits, Bain circuit, and circle system. Sizing and placement of endotracheal tubes is also covered.

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    MALLAMPATI SCORING FOR AIRWAY ASSESSMENT

    CORMACK AND LEHANE GRADING[ CL grading] ( DIRECT LARYNGOSCOPIC GRADING)


    DOUBLE LUMEN TUBE ( PORTEX)
    OROPHARYNGEAL AIRWAY IN PLACE
    NASOPHARYNGEAL AIRWAY IN PLACE
    LARYNGEAL MASK AIRWAY IN PLACE

    UNCUFFED PEDIATRIC TRACHEAL TUBE


    LARYNGECTOMY TUBE
    DIRECT LARYNGOSCOPY
    NEURO MUSCULAR TRANMISSION
    IN A NUTSHELL
    ANAESTHESIA EQUIPMENTS
    DR.RAMAKRISHNA CHAITANYA.K
    MBBS,DA,DNB,FCCS
    ANATOMICAL FACE MASK

    • Available in sizes 00 —> 4


    • Increases Dead space
    • Can cause abdominal distention
    • Increases chances of aspiration
    • Maneuver used : triple maneuver
    • Triple maneuver includes head tilt, chin lift, and jaw thrust
    AIRWAYS

    • Gudels airway
    • Helps in preventing tounge fall back
    • Requires deeper planes of sedation to insert
    • Can stimulate gag reflex
    • Length of airway = Distance between tip of nose & tragus + 1 inch
    • NASO-PHARYNGEAL AIRWAY
    • Also helps in preventing tounge fall back
    • Better tolerated by patients
    • Contraindicated in patients with basal skull fracture/
    bleeding disorders
    LARYNGEAL MASK AIRWAY
    • Good alternative to provide
    oxygenation
    • Invented by DR.ARCHIE BRAIN.
    • Available in sizes 1-4
    •USES
    • Emergency airway/ Difficult intubations
    • Elective procedure for minor surgeries.
    •ADVANTAGES:
    • Easy to insert (Even paramedical staff can insert)
    • Can be used in cervical instability
    • No laryngoscopy required
    • No muscle relaxants required(Can be used in awake patients)
    •DISADVANTAGES:
    • Does not prevent aspiration
    • can cause Laryngospasm
    •Other types of LMA

    •Intubating LMA
    •Pro-seal LMA (suction port for stomach decompression)
    •Laryngoscope
    •Commonly used laryngoscopes:
    • Macintosh (curved blade)
    •neonates -straight blade (magill)

    •Head & neck position for laryngoscope


    •extension at Atianto-occipital joint & flexion at cervical spine
    •Teeth most vulnerable to damage - upper Incisors
    •ENDO TRACHEAL TUBES
    •2 types: cuffed /un-cuffed
    •Cuffed used mostly in adults
    •Protects from aspiration
    •Cuff to be filled with air.
    •pressure should be less than 25mmhg
    •In small children un-cuffed tube should be used (<6 yrs)
    •Confirmation of position:
    •Types of endo tracheal tubes: based on cuff type and material
    made
    •Red Rubber
    • Non transparent
    • Radiolucent
    • mist Absent
    • Cuff = low volume, high Pressure
    • ↑Chances of tracheal injury
    • PVC type endo tracheal tubes:
    • Single use ( disposable)
    • Can see the mist formation
    • Radio opaque line present
    • Low pressure high volume cuffs
    • Less chances of tracheal injury
    • How to calculate Size of ET tube
    • Adult:
    • Male : 8/8.5/9 no.
    • Female : 7.0/7.5/8 no.
    • children
    • <6 years - Age (years)/3 + 3.5
    • > 6 years - Age/4+4.5
    • Length of tube
    • For oral intubation Age/2 + 12 cms
    • For nasal intubation add 3cms to oral length
    • Reflex response to Intubation/laryngoscopy :
    • CVS - tachyarrhythmia, hypertension
    • RESP- laryngeal spasm ( if no adequate depth is present)
    • CNS – increases intracranial tension
    • HORMONAL – profound increase in cortisol and
    catecholamines levels
    • Methods to inhibits :
    • xylocard iv\xylocaine spray\ opoids\beta blockers\ calcium
    channel blockers
    Other types of ET tubes

    • Spiral embedded tube • RAE preformed tube (oxford)


    \flexometallic\armoured • oral and dental surgeries like cleft lip
    • head and neck surgeries and palate

    Robert Shaw & Carlen's tube - double lumen for thoracic


    surgery i.e. for one lung ventilation
    • Nasal Intubation Indications
    • Oral surgery/ Fracture mandible
    • Inadequate mouth opening ( awake intubation)
    • Advantage
    • Better tolerated by awake patients
    • Oral hygiene Can be maintained
    • Disadvantages
    • infection( sinusitis)
    • Contraindication
    • Basal skull fracture/ CSF rhinorrhoea
    • Nasal mass/ Adenoids
    • Coagulopathy
    • Oxygen delivery devices

    • High flow systems: - These are fixed performance


    device so delivers accurate oxygen (error is only ± 2%)
    and therefore possible to regulate oxygen delivery.

    • These include venture mask, special nebulizers, and


    high air flow blenders.
    • Low flow system-Nasal cannula, Oxygen mask, tent, hood
    • variable performance devices so inaccurate and not possible to
    regulate oxygen delivery
    •Reservoir Bag (breathing bag)
    •For neonates - 250 ml
    •For infant & small children - 500 ml
    •For adolescents - 1000 ml
    •For adults - 2000 ml
    AMBUBAG

    - Artificial manual breathing unit


    - Max. 02 that can be given by AMBU Bag - 100%
    DR. APREESH SHARMA
    MBBS (MAMC)
    MD –ANAESTHESIA (MAMC)
    DNB FELLOWSHIP-CRITICAL CARE MEDICINE

    ANAESTHESIA

    1
    ANAESTHESIA MACHINE

    6
    9
    PRESSURE GAUZE

    12
    MAPLESON CIRCUITS

    13
    MAPLESON CIRCUITS

    14
    BAIN CIRCUIT-COAXIAL
    CIRCUITS

    15
    CIRCLE SYSTEM

    16
    AIRWAY DEVICES
    ORO-PHARYNGEAL AIRWAY
    NASOPHARYNGEAL AIRWAY
    BAG & MASK
    LARYNGEAL MASK AIRWAY
    LARYNGEAL MASK AIRWAY

    26
    LMA PROSEAL (PLMA)
    LMA PROSEAL (PLMA)
    INTUBATING LMA(LMA FASTRACK)
    INTUBATING LMA(LMA FASTRACK)
    ENDOTRACHEAL TUBE
    ET

    32
    LARYNGOSCOPE

    33
    34
    POSITION FOR LARYNGOSCOPY

    35
    ET WITH STYLET

    37
    DOUBLE LUMEN TUBE
    DLT

    39
    RAE TUBE

    40
    FLEXOMETALLIC(ARMOURED) TUBE
    FLEXOMETALLIC(ARMOURED) TUBE
    RED RUBBER TUBES
    ???
    FACEBOOK – APREESH SHARMA
    FACEBOOK – ANESTHESIA
    STUDY

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