Вы находитесь на странице: 1из 9

AIRWAY MANAGEMENT

Dr. Bernardus Realino


Department of Anesthesiology
Atma Jaya Catholic University

Anamnesa

Dry Cough
Smoking
History of gastroesofageal reflux
Lots of sputum/mucus
Bleeding tendency
Prothese teeth
Related disease.(e.g:diabetes,neck stifness)

Phisical finding

Posture
Short neck
Neck contracture
Malampati clasification
Tyromental distance
Neck extension
Dental study

Malampati calsification

Additional study
Radiologic
AP
Lateral

CT
MRI

Management
Manual
Head Tilt
Chin Lift
Jaw Trust

Pharyngeal Airway
Nasopharyngeal
Oropharyngeal (guedel)

Management (continous)
Mask
How to handle
Monitoring

Chest expansion
Breath sound
Fogging on the clear portion of the mask
Prompt refilling of reservoir bag

Management (continous)
Pressure
5-10 cm H2O are sufficient
< 20 cm H2O

Bagging
Frecwency
Depth
I:E Ratio

Management (continous)
Laryngeal Mask (LMA)
How to Insert
Benefit: easier to insert, can be use if mask or
intubation are failed
Limitation : gas leak (20 cm H2O),no
protection to aspiration and laryngospasm,
only for short duration operation