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Management of Acute Airway Obstruction
An acute upper airway obstruction (UAO) is a blockage that occurs in your upper airway. The upper airway of your respiratory system consists of the trachea, larynx or voice box, and throat. A blockage in your airway could prevent your body from getting enough oxygen. A lack of oxygen can cause brain damage, and even a heart attack, in a matter of minutes. Any obstruction of the upper airway has the potential to be life-threatening. Seek emergency medical attention immediately if you suspect that you, or someone you know, has an obstructed upper airway.Acute airway obstruction (the foreign body either completely obstructs the pharynx or acts as a valve on the laryngeal inlet), no warning signs, most frequently in a child 6 months-5 years playing with a small object or eating. Conscience is initially maintained. Perform maneuvers to relieve obstruction only if the patient cannot speak or cough or emit any sound: Children over 1 year and adults: Heimlich manoeuvre: stand behind the patient. Place a closed fist in the pit of the stomach, above the navel and below the ribs. Place the other hand over fist and press hard into the abdomen with a quick, upward thrust. Perform one to five abdominal thrusts in order to compress the lungs from the below and dislodge the foreign body. Children under 1 year: Place the infant face down across the forearm (resting the forearm on the leg) and support the infant’s head with the hand. With the heel of the other hand, perform one to five slaps on the back, between shoulder plates. If unsuccessful, turn the infant on their back. Perform five forceful sternal compressions as in cardiopulmonary resuscitation: use 2 or 3 fingers in the center of the chest just below the nipples. Press down approximately one-third the depth of the chest (about 3 to 4 cm).
About the Speaker
Dr Pooja Wadwa
Additional Director, Critical Care Medicine, ECMO specialist,FMRI,Gurgoan
ICU Delirium Management & Prophylaxis
Dr Akhlesh Tandelkarr is Senior Registrar in Tata Memorial Hospital,Mumbai. He was Associate Consultant, P.D Hinduja National Hospital, Mumbai, Assistant Professor in Anesthesia and Critical Care, LTMMC and LTMGH, Sion Mumbai, and as Chief Intensivist, Nanavati Super Speciality hospital. He was certified in Honor in Anatomy,Physiology, Medicine and Surgery,and was also awarded for Appreciation for Approach to patient. Has also received an Award for Service to Humanity by Brihanmumbai Corporation of Greater Mumbai. He has also published a Case report on Anesthesia for cases of complicated Hemophilia with Orthopedic emergency.
Case Discussion on Respiratory Failure and Ventilation
The illness known as respiratory failure occurs when either one or both of the respiratory system's two gas exchange processes—oxygenation and carbon dioxide elimination—fail. It can be categorized as either hypoxemic or hypercapnic in real life. When arterial carbon dioxide tension is normal or low and arterial oxygen tension (PaO2) is less than 60 mm Hg, hypoxemic respiratory failure (type I) is present (PaCO2). The most prevalent type of respiratory failure, which is characterized by the fluid filling or collapse of alveolar units, is connected to almost all acute lung illnesses.
Case Discussion on Management of ECMO
ECMO is a form of life support that uses a machine to oxygenate the blood outside of the body used for patients with severe respiratory or cardiac failure who are not responding to conventional treatment. ECMO can be used in both adult and pediatric patients. Hemodynamic parameters such as heart rate, blood pressure, and oxygen saturation are closely monitored during ECMO management. The goal of ECMO management is to provide temporary support for the patient until their own cardiac or respiratory function can be restored.
ICU Psychosis: A Critical overview
Long stays in ICUs increase the risk of developing ICU psychosis. It is a mental disorder that affects people admitted to intensive care units which typically resolves within a few days to weeks after discharge from the ICU. It is characterized by confusion, disorientation, and delusions. Early recognition and treatment of ICU psychosis can help improve patient outcomes and reduce the risk of long-term complications. Treatment may include reducing the use of sedatives and other medications, providing a calming environment, and using antipsychotic medication.
Case based discussion of Non Invasive Ventilation
Non-invasive ventilation refers to the administration of ventilatory support without using an invasive artificial airway. It has been used as a replacement for invasive ventilation, and its flexibility also allows it to be a valuable complement in patient management. Join us in this interactive discussion with Dr Hazem Lashin Consultant in Critical Care Medicine at NHS, who will be discussing the significant role of Non-Invasive Ventilation and its uses with a deep dive understanding.