Basic Airway Management (Internal Medicine)

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  • Inadequate respiratory effort
  • Airway obstruction
  • There are no absolute contraindications to basic airway management
  • Oropharyngeal airway
  • Nasopharyngeal airways (two)
  • Water-soluble lubricant or anesthetic jelly
  • Bag and mask
  • Oxygen supply
  • Supplies for universal precautions: gloves, mask, eye protection
Nasal Cavity, Pharynx, nasopharynx and oropharynx:
  • On the sides of the nasal cavity are three horizontal turbinates. A properly inserted NPA will pass beneath the inferior turbinate.
  • The pharynx extends from the under surface of the skull to the level of the cricoid cartilage in front, and that of the sixth cervical vertebra behind.
  • The nasopharynx consists of the pharynx from behind the nose to the level of the soft palate.
  • The oropharynx opens anteriorly into the mouth. The palatine tonsil is between the two palatine arches.

Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

  • Many patients requiring bag-valve mask ventilation will require subsequent tracheal intubation and mechanical ventilation.
  • Exacerbation of cervical spine injuries
  • Iatrogenic airway obstruction (due to improper use of OPA)
  • Soft tissue trauma
  • Vomiting
  • Intracranial placement of NPA
  • Gastric distention
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