Facial trauma airway managment

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The Sellick's maneuver is a technique in which the esophagus is occluded by applying pressure on the cricoid cartilage. Why do we put cervical collars on conscious trauma patients? There is time to arrive at the hospital and manage the airway under the best conditions, with the best equipment and by the most experienced personnel. Intracranial placement of a nasogastric tube after severe craniofacial trauma. Neck movements during laryngoscopy using a conventional Macintosh laryngoscope has been compared to that using the GlideScope video laryngoscope [ 18 ] and the Truview PCD laryngoscope [ 19 ]. In addition, it is relatively contraindicated in cases with a possible fracture of the base of skull. However, nasoendotracheal intubation is relatively contraindicated in patients with midface fractures or fractures at the base of the skull [ 59 ].
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Airway Management in Major Trauma

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Comprehensive Airway Management of Patients with Maxillofacial Trauma

Dramatic penetrating impaled objects into the face and upper airway are relatively rare. In shocked patients, pulse oximetry and non-invasive blood pressure readings may be unreliable and ECG electrodes may be difficult to secure. The pilot balloon and endotracheal tube without connector are pulled through the incision while the tube is stabilized to prevent inadvertent extubation. An awake and oriented patient with bleeding in his mouth may be able to self-suction his oropharynx with instruction and monitoring.
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