Managing the airway of a patient with craniofacial disorders poses many challenges to the anesthesiologist. Understanding airway anatomy is vital to proper intubation.
Insertion Of An Endotracheal Tube What You Need To Know
The upper airway begins in the nose though many nasal structures extend into the face and are not visible.
Airway anatomy for intubation. Endotracheal intubation can be done either nasally or orally but oral intubation is easier in most contexts. It includes the mouth the nose the palate the uvula the pharynx and the larynx. This demonstration by anthony lewis from isimulate and todd slesinger provides a brief overview of the basics of the upper airway and laryngoscopy.
Anatomical abnormalities may affect only intubation only airway management or both. A good understanding of airway and intubation is fundamental to managing a sick patient. Anatomical landmarks for intubation.
Visualizing and using your patients own anatomical landmarks during intubation may help you in your next attempt at securing an advanced airway. A quick overview is as follows. Upper airway anatomy in order to open the paediatric airway and gain the best view of the laryngeal inlet the oral pharyngeal and tracheal axes must be brought into alignment.
Thats because its easier to visualize most of the airway. This requires suitable patient positioning during preparation for intubation and differs based on the age of the child. Proficiency in airway management and tracheal intubation requires a firm foundation of knowledge in airway anatomy.
This section also describes the functional physiology of this airway. Visualize both the epiglottis and larynx but also know various positioning techniques that you can use to improve your visualization of these landmarks. This chapter provides an overview of airway anatomy for tracheal intubation with conventional laryngoscopy videolaryngoscopy glidescope and flexible fiberoptic bronchoscopy.
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