Transcript Management of the Critically Obstructed Airway Session 3: Supraglottic Airway Rescue Practical Session Sydney Clinical Skills and Simulation Centre.

Management of the Critically Obstructed Airway
Session 3: Supraglottic Airway Rescue Practical Session
Sydney Clinical Skills
and Simulation Centre
Plan
 3 rounds x 15 minutes each
 Best attempt components
• ETT
• LMA
• Face mask
 Groups stay with same facilitator at same
workstation and change activity
The Vortex model
Best attempt face-mask ventilation
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Optimal position (ear > sternum) 
Head tilt chin lift jaw thrust 
2 handed BMV 
Second person ventilates 
High fresh gas flows (O2 flush) 
Oro/Nasopharyngeal airway 
Cricoid off 
Best attempt endotracheal intubation
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Best person in room 
Best position (tragus >sternum) 
Best blade (e.g., videolaryngoscope)
External laryngeal Manipulation (ELM) 
Bougie or stylet (only1 blind attempt) 
Consider muscle relaxant (if experienced) 
Cricoid off 
Best attempt LMA ventilation
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Different type (e.g. Proseal™) 
Different size 
Insert under direct vision) 
Insertion with jaw thrust 
Pull tongue forward
Cricoid off 
Consider muscle relaxant (if experienced) 