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    Patent Airway Algorithm PDF

    Uploaded by

    Simon Wong
    This document provides guidance on emergency tracheostomy management. It outlines steps to assess airway patency, including looking in the mouth/at the tracheostomy, listening, feeling, and using capnography if available. If the patient is not breathing, CPR and resuscitation should be called. If breathing, high flow oxygen should be applied to the face and tracheostomy. The tracheostomy tube patency should then be assessed and partially obstructed tubes addressed. If the patient does not improve, the tracheostomy tube should be removed and standard airway maneuvers tried before considering re-intubation via the mouth or stoma.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Patent Airway Algorithm PDF

    Uploaded by

    Simon Wong
    143 views1 page
    This document provides guidance on emergency tracheostomy management. It outlines steps to assess airway patency, including looking in the mouth/at the tracheostomy, listening, feeling, and using capnography if available. If the patient is not breathing, CPR and resuscitation should be called. If breathing, high flow oxygen should be applied to the face and tracheostomy. The tracheostomy tube patency should then be assessed and partially obstructed tubes addressed. If the patient does not improve, the tracheostomy tube should be removed and standard airway maneuvers tried before considering re-intubation via the mouth or stoma.

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    Patent Airway Algorithm.pdf

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    This document provides guidance on emergency tracheostomy management. It outlines steps to assess airway patency, including looking in the mouth/at the tracheostomy, listening, feeling, and using capnography if available. If the patient is not breathing, CPR and resuscitation should be called. If breathing, high flow oxygen should be applied to the face and tracheostomy. The tracheostomy tube patency should then be assessed and partially obstructed tubes addressed. If the patient does not improve, the tracheostomy tube should be removed and standard airway maneuvers tried before considering re-intubation via the mouth or stoma.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    143 views1 page

    Patent Airway Algorithm PDF

    Uploaded by

    Simon Wong
    This document provides guidance on emergency tracheostomy management. It outlines steps to assess airway patency, including looking in the mouth/at the tracheostomy, listening, feeling, and using capnography if available. If the patient is not breathing, CPR and resuscitation should be called. If breathing, high flow oxygen should be applied to the face and tracheostomy. The tracheostomy tube patency should then be assessed and partially obstructed tubes addressed. If the patient does not improve, the tracheostomy tube should be removed and standard airway maneuvers tried before considering re-intubation via the mouth or stoma.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Emergency

    tracheostomy management - Patent upper airway


    Call for airway expert help
    Look, listen & feel at the mouth and tracheostomy
    A Mapleson C system (e.g. Waters circuit) may help assessment if available
    Use waveform capnography when available: exhaled carbon dioxide indicates a patent or par6ally patent airway

    No Is the pa0ent breathing? Yes


    Call Resuscita6on Team Apply high ow oxygen to BOTH
    CPR if no pulse / signs of life the face and the tracheostomy

    Assess tracheostomy patency

    Remove speaking valve or cap (if present)


    Remove inner tube
    Some inner tubes need re-inser6ng to connect to breathing circuits

    The tracheostomy tube is patent


    Can you pass a suc0on catheter? Yes Perform tracheal suc6on
    Consider par6al obstruc6on
    No Ven6late (via tracheostomy) if
    Deate the cu (if present) not breathing
    Look, listen & feel at the mouth and tracheostomy Con6nue ABCDE assessment
    Use waveform capnography or Mapleson C if available
    Tracheostomy tube par0ally

    Is the pa0ent stable or improving?


    Yes obstructed or displaced
    Con6nue ABCDE assessment

    No
    REMOVE THE TRACHEOSTOMY TUBE
    Look, listen & feel at the mouth and tracheostomy. Ensure oxygen re-applied to face and stoma
    Use waveform capnography or Mapleson C if available

    Call Resuscita6on team No Is the pa0ent breathing?


    Yes Con6nue ABCDE
    CPR if no pulse / signs of life assessment

    Primary emergency oxygena6on Secondary emergency oxygena6on

    Standard ORAL airway manoeuvres AEempt ORAL intuba0on


    Cover the stoma (swabs / hand). Use: Prepare for dicult intuba0on
    Bag-valve-mask Uncut tube, advanced beyond stoma
    Oral or nasal airway adjuncts
    SupragloWc airway device e.g. LMA

    AEempt intuba0on of STOMA


    Tracheostomy STOMA ven6la6on Small tracheostomy tube / 6.0 cued ETT
    Paediatric face mask applied to stoma Consider Aintree catheter and breop6c
    LMA applied to stoma scope / Bougie / Airway exchange catheter

    National Tracheostomy Safety Project. Review date 1/4/16. Feedback & resources at www.tracheostomy.org.uk

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