Chapter 36 Airway Management Copyright 2009 Wolters Kluwer

Chapter 36 Airway Management Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

The Airway • The importance of a clear airway – Factors that jeopardize airway patency Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Natural Airway Management • Liquefying secretions – Inhalation therapy • Mobilizing secretions – Postural drainage – Percussion Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Aerosol Therapy Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Collecting a Sputum Specimen Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Lung Segments and Corresponding Postural Drainage Positions Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Performing Postural Drainage Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Performing Percussion Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Natural Airway Management (cont’d) • Mobilizing secretions (cont’d) – Vibration • Suctioning secretions – Nasopharyngeal suctioning – Nasotracheal suctioning Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Variations in Suction Pressure Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Suctioning the Airway (Refer to Skill 36 -1 in the textbook. ) Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Placement of a Nasopharyngeal Tube Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Natural Airway Management (cont’d) • Suctioning secretions (cont’d) – Oropharyngeal suctioning – Oral suctioning Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Yankeur-Tip Suction Device for Oral Suctioning Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Artificial Airway Management • Oral airway • Tracheostomy – Tracheostomy tube – Tracheostomy suctioning – Tracheostomy care Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

A Cuffed Tracheostomy Tube Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Inserting an Oral Airway Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Nursing Implications • Nursing diagnoses Ineffective Airway Clearance Impaired Gas Exchange Risk for Infection Impaired Spontaneous Ventilation Anxiety Deficient Knowledge Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Ineffective Airway Clearance Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins