A five-year-old boy has been kicked in the face by a horse and is brought to your rural base hospital by ambulance.
He is unconscious with extensive facial injuries and partial airway obstruction. Vital signs are HR 140, SBP 80, GCS 3 and oxygen saturation 85%.
At laryngoscopy the view is obscured by anatomical derangement, massive tongue swelling, blood and debris, and he cannot be orotracheally intubated.
Explain why partial or complete upper airway obstruction is a relative contraindication to percutaneous transtracheal ventilation.
(Marked out of 3.0)
/ 3
Describe a method for connecting a bag-valve device to a 16-gauge catheter inserted successfully through the cricothyroid membrane.
(Marked out of 3.0)
/ 3
Outline ventilation parameters if a commercial variable-flow oxygen jet ventilation device is available.
(Marked out of 3.0)
/ 3
List five complications of percutaneous transtracheal ventilation.
(Marked out of 5.0)
/ 5
Total Score: 0 / 14
Percentage: 0%
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