![]() ![]() Rescue tracheotomy was successfully performed by an otolaryngology surgeon, with the help of limited ventilation using sequential bag–mask and laryngeal mask airway ventilation provided by an anesthesiologist, without severe sequelae. During rapid sequence intubation, distal part of the tube penetrates the tear and creates a false lumen outside the trachea then a failed airway subsequently occurred. A tracheotomy under local anesthesia or an awake intubation was not preferred in consideration that the patient had a high risk of being uncooperative owing to existing mental disease and potential smothering sensation during operation. A "double setup" strategy, simultaneous preparation for orotracheal intubation and tracheotomy, was carried out before rapid sequence induction. We report a case of a 24-year-old woman who presented with partial tracheal rupture and pneumothorax caused by a knife stab injury to the neck. We propose the concept “Cannot intubate, Cannot oxygenate, Difficult surgery access” to describe this emergency scenario. When a failed airway occurs and surgery access is difficult, it is crucial to find the optimal approach to save the life. Each element of the skill test will be categorized into 3 parts i.e satisfactorily performed, not satisfactorily performed, and not observed.Airway management of patients with direct airway trauma caused by penetrating neck injuries is always challenging. ![]() Skill checklist (American heart association- basic airway maneuver, intubation, Laryngeal mask insertion, directly observed procedural Skills) will be followed to assess the skill. What went well, what needs to be corrected, and what needs to be demonstrated will be discussed and demonstrated to the healthcare workers in the debriefing session (feedback session). Preparation phase and Basic Airway maneuverĪfter completion of managing that trauma victim, then, 25-30 minutes debriefing session will be conducted based on Pendleton’s rule by the faculty being as a moderator.There will be one rotatory facilitator who rotates all the group members in each skill station and will make sure each member has received enough practice sessions. All participants will be divided into 4 groups and in each group there will be 4-7 participants with one Trainer/ Facilitator. (head tilt, chin lift, jaw thrust, oxygen administration, suction, Oro-pharyngeal Airway, Nasopharyngeal Airway, Bag and mask, C-spine protection)ĭemonstration of LMA on a mannequin and practiceĪdvanced Airway ( Intubation, Crash Airway, and Rapid Sequence intubation) and Practiceĭemonstration on Needle Cricothyroidotomy, Simulation-based Airway Management Workshopĭemonstration on Basic Airway maneuver and Practice It can reinforce the resuscitating team and can save more lives. This enhances the level of confidence and minimizes the error during the identification and management of a compromised airway. ![]() ![]() Significance: This training provides the required knowledge, skills, and attitudes for basic, advanced airway maneuvers, insertion of laryngeal mask airways, and needle cricothyroidotomy which in turn enables them to utilize the skills for diagnosing and managing airway compromises.Target group: Inter medical student, MDGP Resident, Anesthesia Resident, ENT resident, Medical officers, Emergency, ICU, Medicine, PICU, pediatric, SICU, MICU,- Nursing and paramedics staff, Newly appointed faculty of Emergency, Anesthesia, and ENT Department. Mode of Teaching: Case-based Simulation exercise (Trauma-based Case scenarios)ġst scenario: A Trauma patient who needs immediate airway assessment and interventionĢnd scenario: A conscious trauma patient, who needs rapid sequence intubation will be introduced to healthcare workers for emergency airway management in dummy patients. To assess the level of confidence acquired by healthcare workers in emergency airway management maneuvers before and after simulation-based training.To assess the level of competency acquired by healthcare workers in basic airway management skills, intubation, Laryngeal Mask Airway insertion, and needle cricothyroidotomy via simulation-based exercise based on knowledge questionnaire and skill checklist (American heart Association-based).To enhance knowledge, skills, and confidence associated with emergency airway management among healthcare workers through a simulation exercise ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |