1.Ventilatory assistance can be provided using a bag & mask. 2.It provides full ventillatory support. 3. It is not a long term solution
What are the hazards for these procedures - ABDOMINAL & chest thrust?
1. Organ trauma 2.Fractured ribs 3. Cardiac Contusion(chest thrust 4. Pneumothorax. Even if these occurs do not stop CPR.
What are the 3 devices used for assisting Ventilation?
1. IPPB 2. BIPAP 3. Resuscitation Bag-valve.
How do you we react in a situation in which a pt. is having a Foreign Object & is causing Airway Obstruction?
1. Pt. is unable to speak 2. We may hold hand to neck to check sign of breathing & we address the problem by doing ABDOMINAL THRUSTS.
In what patients are we not suppose to do the ABDOMINAL THRUST? What is the alternative for those patients?
If patient is obese/pregnants/infant, use CHEST THRUSTS.
What is IPPB?
1. It is a therapy to improve ventilation but can also provide complete ventilation. 2. the problem is that ventilatory support by mask is only effective during the therapy. 3.Pt. may have ventilatory problems when the treatment is over.
Wrap arms around pt. from behind, place fist mid-abdomen &deliver upward thrust. Periodically check for clear airway/chest movement. Continue thrusts until airway is clear- even if pt. loses HR & Collapses. Before anything we must 1st address ventilation
What is BIPAP?
It delivers an inspiratory & expiratory pressure. Inspiratory pressure must exceed expiriatory pressure. Actual ventilatory pressure = inspiratory pressure - expiratory pressure.
What does assisting ventilation related to?
It relates to an Acute need to resolve a threathening under a ventilation problem
