By Pat Sullivan
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Extra resources for Anaesthesia for Medical Students
Repeat attempts at intubation should be avoided unless there is something that can be done differently to improve one's chance of success. Persistent repeat attempts at intubation traumatize the patients airway, interrupt and delay both oxygenation and ventilation, and place the patient at risk of significant morbidity and mortality. If you are having difficulty, retreat, regroup, and resume manual mask ventilation and oxygenation. Call for help and allow the patient to recover from any sedative relaxant medications that have been given.
VI. e. not responding to medical management in the first 35 45 minutes). Normal respiratory muscles use approximately 2 - 5 % of the cardiac output, in shock states this may increase to up to 15 - 20 %, stealing from other organs in vital need of oxygen such as the heart and brain. Dogs subjected to septic shock conditions, die much earlier if they are allowed to breathe on their own, when compared to dogs who are intubated and ventilated. found muscle relaxation during the procedure, protect the airway from aspiration of gastric contents, and provide good ventilation and oxygenation.
Technical difficulties with intubation should be anticipated when only the Fig. 2: 2 + Should Know = Mouth opening. Page 35 Anaesthesia for Medical Students Adults who have less than 3 fingerbreadths (or < 6 5 cm) between their mentum and thyroid notch may have either an anterior larynx or a small mandible, which will make intubation difficult. 3: 3 = Thyromentai distance. tongue and soft palate are visualized in a patient during this above maneuver'. The third component of this test assesses the patient's thyromental distance.
Anaesthesia for Medical Students by Pat Sullivan