morrissey airway positioning

Basic AirwayBasic Airway

Tom Morrissey, MDTom Morrissey, MDAssistant ProfessorAssistant Professor

University of Florida HSCUniversity of Florida HSC

Jacksonville, FloridaJacksonville, Florida

PositioningPositioning

Sniffing PositionSniffing Position

Sniffing PositionSniffing Position

AIRWAY POSITIONING and the AIRWAY POSITIONING and the BURPBURP

BBackwardsackwards

UUpwardspwards

RRightwardightward

PPressureressure

Laryngoscopy and IntubationLaryngoscopy and Intubation

Technique:Technique:– Placement of the laryngoscopePlacement of the laryngoscope– Initially non-visual then active visual Initially non-visual then active visual

stagestage– No death-grip neededNo death-grip needed– Keep right hand freeKeep right hand free

TechniqueTechnique

Nobody will steal your scope!!Nobody will steal your scope!!

Laryngoscopy and IntubationLaryngoscopy and Intubation

Steps of intubationSteps of intubation– PositioningPositioning– Placement of LaryngoscopePlacement of Laryngoscope

Laryngoscope PlacementLaryngoscope Placement

Laryngoscopy and IntubationLaryngoscopy and Intubation

Steps of intubationSteps of intubation– PositioningPositioning– Placement of LaryngoscopePlacement of Laryngoscope– Capture of the tongueCapture of the tongue

Starting Position of Visual Starting Position of Visual PhasePhase

Laryngoscopy and IntubationLaryngoscopy and Intubation

Steps of intubationSteps of intubation– PositioningPositioning– Placement of LaryngoscopePlacement of Laryngoscope– Capture of the tongueCapture of the tongue– Visualization of anatomic structures Visualization of anatomic structures

as Miller blade is withdrawnas Miller blade is withdrawn

Visualization of Airway and Visualization of Airway and Exposure of CordsExposure of Cords

Laryngoscopy and IntubationLaryngoscopy and Intubation

Steps of intubationSteps of intubation– PositioningPositioning– Placement of LaryngoscopePlacement of Laryngoscope– Capture of the tongueCapture of the tongue– Visualization of anatomic structures as Visualization of anatomic structures as

Miller blade is withdrawnMiller blade is withdrawn– Placement of tubePlacement of tube

Tube Placement Tube Placement

Final Placement Final Placement

Laryngoscopy and IntubationLaryngoscopy and Intubation

Steps of intubationSteps of intubation– PositioningPositioning– Placement of LaryngoscopePlacement of Laryngoscope– Capture of the tongueCapture of the tongue– Visualization of anatomic structures as Visualization of anatomic structures as

Miller blade is withdrawnMiller blade is withdrawn– Placement of tubePlacement of tube– CO2 conformationCO2 conformation

Difficult Airway PredictorsDifficult Airway Predictors

The Lemon LawThe Lemon Law– LLook externallyook externally– EEvaluate the 3-3-2 rulevaluate the 3-3-2 rule– MMallampatiallampati– OObstruction?bstruction?– NNeck mobilityeck mobility

Mallampati ClassificationMallampati Classification

AIRWAY IN THE OBESEAIRWAY IN THE OBESE

Management Management

HELP!!!!!!!!!HELP!!!!!!!!!

WHAT DO YOU DO????WHAT DO YOU DO????

AIRWAY IN THE OBESEAIRWAY IN THE OBESE