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The Airway In Cardiac Arrest

a nextgen learning space designed to elevate your airway practice
Introduction

In cardiac arrest the goal is high quality chest compressions over oxygenation, but that doesn’t mean oxygenation and airway management isn’t important. In fact, it simply presents a new set of challenges. That is why we include this common airway scenario in our situationally difficult airway learning space.

CARDIAC ARREST


What is the best strategy? How to we integrate it seamlessly into our ongoing cardiac resuscitation. We go into it all here.

Check that Tube?Minimal Invasive
Airway HygieneGuided Practice
Deeper DiveMasterclass
goals for this space

  • Learn minimally invasive airway techniques
  • Understand the role of supraglottic devices in cardiac arrest
  • ETT & SGA placement& FMV techniques during chest compressions.

1

Wait! How are you going to check that tube?

What is the best strategy? There’s a simple device that can help you. Listen here👆

2

Minimally invasive Airway Management

One thing is clear, your approach to airway management while compressions are ongoing should be minimally invasive. In other words what you do should never interfere with high quality chest compressions. You can do this in a number of ways:

  • Intubation is NOT required
  • Start with BVM with a good seal
  • Optimize with jaw thrust OPA/NPA
  • Place supraglottic airway
  • NEVER ask your team to pause compressions for any placement of an airway device

3

Provide Good airway hygiene
Don’t make things worse

Just because you’re not placing an endotracheal tube doesn’t mean the role of airway management in cardiac arrest isn’t vital. Good airway hygiene during cardiac arrest is not simply avoiding any interruption of chest compressions, but also being fastidious about what it is you do:

  • Suction airway contamination
  • Remove airway obstructions
  • Work with compressions & pauses
  • Do not impede venous return:
    • Keep RR rate low
    • Keep bag pressures low

Good airway hygiene is frequently lacking during cardiac arrests. It’s your job to clean it up! Make sure you and the airway team keep the airway patent, suction, and avoid aggressive bagging and stomach insufflation, and don’t impede venous return by over-inflation of the lungs.

4

hands on training

  1. Look for this tabletop card
  2. Snap the QR code
  3. Begin your practice

If you’re in one of our pop-up learning spaces or a PAC Live!! event, find this care and, use the multimedia tools for a guided practice training experience.

Don’t forget to engage our faculty coaches for real-time expert feedback.

5

Additional reading

Want to go a little deeper into this topic? Here’s a great summary of recent research by PulmCCM.


You could stop here but why would you? Use the link below to head back to the complete learning space and all the related content. 👇

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