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Anaesthetists Handbook - MEDICAL EDUCATION at University ...

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Managing difficult airways• Manujet III. A manual jet device for difficult airway management.It gener<strong>at</strong>es a high-pressure oxygen flow for use down aRavussin-type jet ventil<strong>at</strong>ion c<strong>at</strong>heter, which can itself be placedpercutaneously in an emergency.• Ravussin-type jet ventil<strong>at</strong>ion c<strong>at</strong>heters as above.You should make sure th<strong>at</strong> you arrange a place on the studysessions as soon as possible. Some are in-house CEPD and someare formal courses for which you will have to be granted study leave.Record keepingIf you encounter significant difficulty when managing a p<strong>at</strong>ient’sairway you must make a full record in the p<strong>at</strong>ient’s clinical recordsfolder.Make sure th<strong>at</strong> all details including the degree of difficulty in airwaymanagement encountered, the probable reason and potentialsuggestions for the future are clearly recorded in the clinical notes.You should also inform the p<strong>at</strong>ient of the n<strong>at</strong>ure of the problem.You can download an ‘Airway alert form’ from www.das.uk.com.When completed, send one copy to the p<strong>at</strong>ient’s records, one to thep<strong>at</strong>ient and one to the GP.The DAS airway alert forms are kept in the guideline folder in eachthe<strong>at</strong>re.<strong>Anaesthetists</strong> <strong>Handbook</strong> January 2010 21

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