AIRWAY MANAGEMENT
39
A
n FIGURE 2-4 The Chin-Lift Maneuver to Establish an Airway. This maneuver is useful for trauma victims because it can prevent converting a cervical fracture without cord injury into one with cord injury.
B Advanced Trauma Life Support for Doctors Student Course Manual, 9e American College of Surgeons KB Figure# 02.04 Dragonfly Media Group WC 09/19/2011
Approved
Changes needed
Date
NP
n FIGURE 2-6 Alternative Technique for Inserting Oral Airway. In this technique, the oral airway is inserted upside down (A) until the soft palate is encountered, at which point the device is rotated 180 degrees and n FIGURE 2-5 The Jaw-Thrust Maneuver to Establish an slipped into place over the tongue (B). This method Approved Changes needed Advanced Trauma Life Support for Doctors Airway. Care must be taken to prevent neck extension. should not be used in children. Student Course Manual, 9e American College of Surgeons Figure# 02.06AB Dragonfly Media Group 09/19/2011 the Approved concavity is Changes be wellneeded lubricated
Advanced Trauma Life Support for Doctors theManual, device9erotated 180 degrees, Studentwith Course directed and the device is slipped into place American Collegeinferiorly, of Surgeons KB Figure#over 02.05 the tongue (n FIGURE 2-6). This alternative method Dragonfly Medianot Group should be used in children, because the rotation of 09/19/2011
KB
the device can damage the mouthWC and pharynx. See Skill Station II: Airway and Ventilatory Management, Skill II-A: Oropharyngeal Airway Insertion. NP
and Date insertedWC into the nostril that appears to be unobstructed. If obstruction is encountered NP during introduction of the airway, stop and try the other nostril. This procedure should not be attempted in patients with suspected or potential cribriform plate fracture. See Skill Station II: Airway and Ventilatory Management, Skill II-B: Nasopharyngeal Airway Insertion.
Nasopharyngeal Airway
Extraglottic and Supraglottic Devices
Nasopharyngeal airways are inserted in one nostril and passed gently into the posterior oropharynx. They should
The following extraglottic, or supraglottic, devices have a role in managing patients who require an advanced