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Top: Esophageal Obturator Airway; lower: Esophageal Gastric Tube Airway 29 ABC of Resuscitation Laryngeal mask airway This innovative airway adjunct has revolutionised anaesthetic and resuscitation practice. The curved tube, terminating in a spoon-shaped rubber mask with an inflatable rim, is passed blindly into the hypopharynx to isolate and seal the laryngeal inlet. The trachea is thus protected against aspiration from sources both above and below the larynx. Several mask sizes are available to fit patients ranging from babies to large adults.
In all cases, treatment is determined by clinical assessment of the patient and not by the electrocardiographic appearances alone. The algorithms are intended for clinicians who do not regard themselves as experts in the management of arrhythmias. 20 Complete heart block complicating inferior infarction: narrow QRS complex Atrial fibrillation with complete heart block. Bradycardia may arise for many reasons. 5 seconds due to sinoatrial block Antidromic atrioventricular re-entrant tachycardia Management of peri-arrest arrhythmias ● ● ● ● ● The arrows in the algorithms that indicate progression from one treatment stage to the next are only followed if the arrhythmia persists.
If cardioversion is initially unsuccessful further doses of amiodarone should be given, allowing time for the drug’s powerful anti-arrhythmic action before cardioversion is repeated. Should the patient’s condition deteriorate and adverse signs develop, immediate electrical cardioversion should be undertaken. Narrow complex tachycardia A narrow complex tachycardia is virtually always supraventricular in origin—that is, the activating impulse of the tachycardia passes through the AV node. ) access No Pulse Use VF protocol Yes Adverse signs?