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Artificial Airway Care and Manual Ventilation

RT 131

Artificial Airway Care and Manual Ventilation

RT 131

Course Description

Prerequisite: Admission to the Respiratory Care Program. RT 117, RT 118, RT 121, & RT 126 must be taken concurrently. Presents the theory and application of skills required to provide care of the patient with an artificial airway and manual ventilation.(26-8)

Outcomes and Objectives

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Explain the indications for manual ventilation.
  • Describe the standards for design and construction of manual resuscitators.
  • Identify the outside and inside diameter of the standard anesthesia "universal connector."
  • Identify and explain the function of the following types of "patient valves" during inhalation and exhalation:
  • Identify and explain the function of the following types of bag "inlet valves" during inhalation and exhalation:
  • For the resuscitators listed below:
  • Explain the variables that determine the delivered FI02 from manual resuscitators.
  • Explain the function of gas powered resuscitators.
  • Explain methods to determine the effectiveness of manual ventilation.
  • Assemble and disassemble the above mentioned manual resuscitators.
  • Perform appropriate bag and mask ventilation both one and two hand.
  • Perform appropriate bag and endotracheal tube ventilation both one and two hand.

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Identify major structures of the upper airway
  • Identify and explain primary causes of upper airway obstruction
  • Identify clinical signs of upper airway obstruction.
  • Differentiate between various methods to relieve upper airway obstruction, based on clinical signs.
  • Explain the function and use of the:
  • Explain advantages and disadvantages of the devices listed above.
  • Define the term "artificial airway."
  • Explain the indications for establishment of an artificial airway.
  • Explain the four major airway protective reflexes.
  • Explain the hazards of artificial airways.
  • Describe various techniques for establishing an emergency airway.
  • Identify and explain the function of a:
  • Demonstrate the appropriate technique for orotracheal intubation.
  • Explain the post intubation procedures to assess proper tube placement.
  • Explain the limitations of emergency airways.
  • Define the term "non-emergency airway."
  • Describe techniques for establishing a non-emergency airway.
  • Explain advantages and disadvantages of nasotracheal intubation.
  • Identify "immediate complications" of a tracheostomy.
  • Identify "late complications" of a tracheostomy.
  • Explain advantages and disadvantages of the various materials found in endotracheal and tracheal devices.
  • Explain the markings on endotracheal and tracheostomy tubes.

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Give an appropriate rationale for recommending endotracheal intubation vs tracheostomy.
  • Explain the difference between "contamination" and "infection."
  • Explain how the diagnosis of pulmonary infection is made.
  • Identify common airway contaminants.
  • Explain the appropriate use of antibiotics to treat pulmonary infection.
  • Give an appropriate rationale for 100% humidification of gases delivered to an artificial airway.
  • Explain the procedure for tracheostomy wound care.
  • Define "minimal occluding volume" and "minimal leak technique."
  • Explain the procedure to achieve a "minimal occluding volume" and "minimal leak"
  • Explain disadvantages of periodic deflation of cuff vs the use of minimal occluding volume or minimal leak.
  • Identify and explain methods to deal with artificial airway emergencies.
  • Give an appropriate rationale for suggesting discontinuance of an artificial airway.
  • Demonstrate the appropriate technique for endotracheal extubation.
  • Identify clinical signs of laryngospasm and appropriate methods to deal with it.
  • Identify and explain the function of:
  • Identify and explain the complications of artificial airways.
  • Explain appropriate methods to deal with complications of artificial airways.
  • Explain the causal factors of tracheal stenosis.
  • Explain the pathophysiology of tracheal wall pressure.
  • Explain the physics of tracheal cuffs.
  • Identify and explain the function of the:

Demonstrate, through successful completion of written examination and/or return demonstration, the ability to:

Objectives:

  • Identify indications for airway suctioning
  • Explain the complications of airway suctioning.
  • Describe techniques to minimize these complications.
  • Compare nasotracheal vs endotracheal suctioning.
  • Describe the design and function of the "ideal" suction catheter.
  • Explain the function of specialty suction catheters or systems.
  • Assemble the appropriate equipment for airway suctioning.
  • Demonstrate the appropriate technique for airway suctioning.