Teaching the airway station on #NLS today, so what are the take homes?
1. Place infants head in neutral alignment. This means the plane of the face is parallel to the ceiling, avoid hyperextension or hyperflexion. This might require a small towel/nappy under the shoulders
1. Place infants head in neutral alignment. This means the plane of the face is parallel to the ceiling, avoid hyperextension or hyperflexion. This might require a small towel/nappy under the shoulders
2. Size up a mask which fits over the mouth and nose but doesn’t project out over the chin or up into the orbits
3. Align the join which marks the interface between the soft silicon edge and the more rigid upper part with the tip of the chin before rolling the mask up onto the face
4. Then use a two point hold on the top of the mask, near the stem, with fingers 3-5 along the jaw line, being careful not to compress the soft tissues. Use a jaw thrust in combination with downwards pressure on the mask
5. If you fail to get a good seal or achieve any chest rise then check steps 1-4. Then try two person technique.
If all this fails the a suoraglottic can be a useful adjunct to reach for. Size 1 iGel will fit approx 2kg+ or 34week gestation
If all this fails the a suoraglottic can be a useful adjunct to reach for. Size 1 iGel will fit approx 2kg+ or 34week gestation
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