Nội dung text [COMPILED] Stroke Learning Module AY 2024 - 2025.pdf
PATIENT ATTACHMENTS PEDIA LEARNING MODULE 3 This material is a property of UP PGH Department of Rehabilitation Medicine - Division of Physical Therapy. Please obtain permission prior to use for other purposes. Oral Airways Indicated to establish a patent airway in emergency situation and following procedures such as surgery Oropharengeal Airway (OPA) Function: Airway adjuct unsed to maintain or open the airway by stopping the tongue from covering the epiglottis. [1] The tongue may prevent an individual from breathing. This happens when a person becomes unconscious and the jaaw muscles relax causing the tongue to obstruct the airway hence, OPA is used. [1] Usually not used for patients with gag reflex because it might cause vomiting which might lead to aspiration. [1] Nasopharengeal Airway (NPA) Function: Utilized to assist with patient oxygenation and ventilation in patients who are difficult to oxygenate or ventilate. [2] Does not cause the patient to gag unlike the OPA. [2] A better choice for semi-conscious patients. [2] Only acts as bridge to either a stabilized patient that is breathing without aid or a patient that requires a secure airway via endotracheal or nasotracheal intubation. [2] ENDOTRACHEAL TUBE A tube that is placed between the vocal cords through the trachea. [3] Serves to provide oxygen and inhaled gases to the lungs and protects the lungs from contamination, such as gastric contents or blood. [3] They are usually attached to a mechanical ventilator or an Ambu bag. [3] OROTRACHEAL TUBE
PATIENT ATTACHMENTS PEDIA LEARNING MODULE 4 This material is a property of UP PGH Department of Rehabilitation Medicine - Division of Physical Therapy. Please obtain permission prior to use for other purposes. Function: Used in cases where invasive mechanical ventilation ins required like in intensive care units (ICU) and some general anesthesia. [4] NASOTRACHEAL TUBE Function: Passes an endotracheal tube through the naris, into the nasoharynx and the trachea. Most commonly after induction of general anesthesa. [5] Permits the administration of anesthetic gases without limiting access to intra oral anatomy. [5] Usually used for dental, oropharnygeal and maxilofacial operations. [5] Causes less gagging and is better tolerated in awake patients. [5] TRACHEOSTOMY TUBE Function: Tube is coursed through a hole that surgeons make through the front of the neck and into the windpip (trachea). [6] Tracheotomy – surgical procedure to create an opening to the trachea. [6] Provied an air passage for breathing. [6] Often needed when health problems require long-term use of a mechanical ventilator. Usually more than one or two weeks. [6] Generally prevents speaking becaue exhaled air goes out the tube. However, there are devies and techniques that will redirect airflow enough to produce speech. [6] VENTILATION DEVICES