Hansamed Airways Oxygen Airway Cart

Oxygen Airway Cart

An oxygen crash cart is wheeled trolley carrying equipment for use in emergency resuscitations. There is a basic list that all crash carts contain. All carts contain: basic airway equipment including bag valve masks, oral airways, oxygen masks and nasal cannulas.

Skillful airway management is often the first step in the successful resuscitation of a medical emergency patient.

Basic airway management starts with the assessment of the airway.

  • Is the airway free of obstructions?
  • Is the respiratory rate and volume adequate?

It’s common that airway obstruction is usually caused by the patient’s tongue. Other objects that could cause a patient to choke in a dental clinic could include: fluids (saliva, water, and blood), cotton rolls, gauze, extracted teeth, or dental instruments.

Nasal Cannulas:

Narrow, flexible plastic tubing used to deliver oxygen through the nostrils of patients using nasal breathing. It connects to an oxygen tank on one end and has a loop at the other end with dual pronged extended openings at the top of the loop. The prongs are slightly curved to fit readily into the front portion of a patient’s nostrils. The tubing of the loop is fitted over the patient’s ears and is brought together under the chin by a sliding connector that holds the cannula in place.

Handling/instructions:

  • Secure headset loop behind head
  • Position with the nasal prongsfacing upward and curved toward face
  • Insert the two nasal prongsinto the nostrils 

High Concentration Mask with Tubing:

High concentration masks are intended for administration of oxygen. They are equipped with a reservoir bag allowing an adequate amount of oxygen to be available to meet unpredictable breathing patterns. Oxygen concentration delivered is 80%-100% depending on the patient’s breathing rate. The product is single use only.

Handling/instructions:

  • Secure strap behind head
  • Cushion facing the patient mouth and nose

Ventilation: 

Ventilating the patient after a clear airway has been established is the next step. The bag-mask ventilation (when possible), should be a two-person job. One provider should hold the mask with both hands and maintain proper position of the head while maintaining a good mask seal; the second provider should squeeze the bag.

Handling/instructions:

  • Secure strap behind head
  • Cushion facing the patient mouth and nose

Guedel Airway devices:

Is an oropharyngeal airway. These devices are generally made of hard plastic, and have a semicircular design that conforms to the curvature of the palate. When properly inserted, an oropharyngeal airway will hold the tongue away from the posterior pharynx so air can pass through and around the device during an emergency situation.

The Guedel Airways is one of the most widely used oropharyngeal airways. The Guedel is a tubular device.

Each oropharyngeal airway has three parts: the flange, the body, and the tip. When properly inserted, the flange is the piece that protrudes from the mouth and rests against the lips, preventing the device from sinking into the pharynx. The body follows the contour of the roof of the mouth, and will curve over and rest on top of the tongue. The distal end, or tip, sits at the base of the tongue.

Handling/Instructions:

  • Before inserting an oral airway, make sure to use the correct size
  • Use the device itself as a measure.
  • Place it on the patient’s cheek with the flange parallel to the front teeth, the tip of the Guedel airway should reach no further than the angle of the jaw.
  • If the airway is too long, it could obstruct breathing by displacing the tongue against the oropharynx. If it is too short, it will not be able to hold the tongue away from the pharynx.
  • Before insertion, suction the patient’s mouth and pharynx to remove secretions.
  • Place the patient in a supine position, and tilt the head back, unless this is contraindicated.
  • With gloved hands, remove dentures (if they are present), and prepare to insert the device.
PRECAUTIONS
  • All masks / tubing are disposable
  • Oxygen tank is flammable and requires inspection after use / every 2 years
  • Keep the oxygen at least 3 meters from any heat source
  • Keep tank in upright position in a well-ventilated area
  • Turn oxygen supply valve off when not in use
  • Keep backup tanks on hand

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