93
y a w r i A e h t f o y p o c s o d n E t r e b l A e v a D t r e b l A e v a D

Endoscopy of the Airway Dave Albert

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Endoscopy of the Airway Dave Albert

yawriA eht fo ypocsodnE

treblA evaD treblA evaD

Page 2: Endoscopy of the Airway Dave Albert

ypocsodnE yawriA

scisaB ehT

latanoeN

evissergorP

etucA

ziuQ

Page 3: Endoscopy of the Airway Dave Albert

fo swal ehT illuonreB dna elliuesioP

dna tsicisyhp,naicisyhp hcnerF naicitemehtam

naicitemehtam ssiwS hctuD tsicisyhp dna naicisyhp

Page 4: Endoscopy of the Airway Dave Albert

ypocsodnE fo scisaB

• maeT– tsitehtseanA– esruN– noegruS

• tnempiuqE– sepocsodne dor snikpoH– gnidrocer latigid llits/oediV– resal naht rehtar redirbedorciM– noollaB

• noitaripser suoenatnopS

Page 5: Endoscopy of the Airway Dave Albert

ypocsodnE elbixelF

erudecorp gnineercs dooG

snoitidnoc cimanyd rof dooG

: ssim yaM -dionetyraocirC noitaxif

xnyral tfelCygolohtap cittolgbuS

Page 6: Endoscopy of the Airway Dave Albert

ypocsodnE digiR

syawria suoiracerP -– lortnoc erom

cte sdionetyra eborp naC

yllacipocsodne taert naC

Page 7: Endoscopy of the Airway Dave Albert

ypocsodnE elytS ’SSEF‘

Page 8: Endoscopy of the Airway Dave Albert

sweiV ’tohS ruoF‘

Page 9: Endoscopy of the Airway Dave Albert

weiV cimanyD

Page 10: Endoscopy of the Airway Dave Albert

ypocsohcnorbognyralorciM lanoitidarT

Page 11: Endoscopy of the Airway Dave Albert
Page 12: Endoscopy of the Airway Dave Albert
Page 13: Endoscopy of the Airway Dave Albert

LATANOEN

Page 14: Endoscopy of the Airway Dave Albert

:aicalamognyraL yrotsiH

rodirtS)keew tsrif( htrib ta tneserp yllausu toN

peelsa/tser ta teiuQ gniyrc dna gnideef htiw

ytilauq lacisum

lamron : yrclausunu :sedosipe citonayc

ereves fi detceffa : thgiew/htworg

Page 15: Endoscopy of the Airway Dave Albert

:aicalamognyraL noitanimaxE

• rodirts yrotaripsnI htiwgniyrc

• noisseceR• rof kcehC

• atamoignameah suoenatuc:semordnys fo sngis

– decaps ediw ,waj llamscte srae tes wol ,seye

Page 16: Endoscopy of the Airway Dave Albert

:aicalamognyraL ypocsodnE

aicalamognyral fo sisongaid mrifnoc otoc edulcxe ot - ygolohtap yawria tnetsixe

erbiF - eciffo ni citpo – gnineercs”erac fo dradnats“ laminim woN ?

tnemssessa lluf rof AG rednu BLM

Page 17: Endoscopy of the Airway Dave Albert

detcepsus ni ypocsodne digir mrofrep ot nehWaicalamognyral

• yrotsih noitabutnI

• htrib citamuarT

• 1 yad morf rodirtS

• sedosipe citonayC

• noitaripsA

• evirht ot eruliaF

• rodirts cisahpiB

• noissecer ereveS• latinegnoc rehtO

seitilamronba

• ygoloruen lamronbA

Page 18: Endoscopy of the Airway Dave Albert

aicalamognyraL roiretsoP

• otni dionetyra fo espalorPnemul laegnyral

• :fi pins ro mirT• evirht ot eruliaF

• ereveS seitluciffid yawria– noitarutased ge

Page 19: Endoscopy of the Airway Dave Albert

:ytsalpottolgipeyrA yregruS

noisicxe lasocuM

Page 20: Endoscopy of the Airway Dave Albert

ytsalpottolgipeyrA

• pins dleiffehS

• !!RESAL TON

aicalamognyraL

Page 21: Endoscopy of the Airway Dave Albert

yslap droc lacoV

Page 22: Endoscopy of the Airway Dave Albert

yslap droc lacoV

nommoc tsom dnoces ?rodirts latanoen fo esuac na erom netfo ,revewoH

noitanidroocni

1 nihtiW ts netfo dna htnom htiw htaerb tsrif

,rodirtS :sisylarap laretaliBaenpa ,sisonayc

:sisylarap laretalinU .ainohpsyd

,smelborp gnideef :htoBnoissecer lanrets

Page 23: Endoscopy of the Airway Dave Albert

tnemtaerT

ymotsoehcarT ro evitavresnoC

:oslAcipocsodne ro nepo :noitasilaretaL

resaL ymotcedionetyracipocsodne ? tfarg diocirc roiretsoP

eR - noitavreniyawria sv ecioV

Page 24: Endoscopy of the Airway Dave Albert

noitabutnI degnolorP

Page 25: Endoscopy of the Airway Dave Albert
Page 26: Endoscopy of the Airway Dave Albert
Page 27: Endoscopy of the Airway Dave Albert
Page 28: Endoscopy of the Airway Dave Albert

amede citolgbuS - cipocsodne

Page 29: Endoscopy of the Airway Dave Albert

erudecorp cipocsodnEdiocirc fo segde tuC

Page 30: Endoscopy of the Airway Dave Albert

erudecorp nepo :tilpS diocirC

Page 31: Endoscopy of the Airway Dave Albert

sisonets cittolgbuS

Page 32: Endoscopy of the Airway Dave Albert
Page 33: Endoscopy of the Airway Dave Albert

gnigatS - ebut TE gnisu gniziS

Page 34: Endoscopy of the Airway Dave Albert

senilediug tnerruc yM

edarG

I evitavresnoC

II tfos fi cipocsodnE dehsilbatse ecno RTL

III RTL fo raelc dna ereves fi RTCsdroc

VI RTL ebut t /sdroc fo raelc fi RTC

Page 35: Endoscopy of the Airway Dave Albert

tnemecalp tfarG RTL

Page 36: Endoscopy of the Airway Dave Albert

noitceser laehcartocirC

Page 37: Endoscopy of the Airway Dave Albert

T- utiS nI ebuT

Page 38: Endoscopy of the Airway Dave Albert

sbeW

Page 39: Endoscopy of the Airway Dave Albert
Page 40: Endoscopy of the Airway Dave Albert

sisonetS laehcarT

Page 41: Endoscopy of the Airway Dave Albert

seludon cVtsyc ladrocartni sv

Page 42: Endoscopy of the Airway Dave Albert

tsyc rallucelaV

Page 43: Endoscopy of the Airway Dave Albert

C xnyral tfel

Page 44: Endoscopy of the Airway Dave Albert

tfelC laegnyraL

I epyT II epyT III epyT VI epyT- s’CV oT - diocirc gnivlovnI - cicaroht evoba - cicaroht woleb

teltuo teltuo

Page 45: Endoscopy of the Airway Dave Albert

riaper cipocsodnE

Page 46: Endoscopy of the Airway Dave Albert

riapeR nepO

Page 47: Endoscopy of the Airway Dave Albert

alutsiF laegahposeO ehcarT

Page 48: Endoscopy of the Airway Dave Albert

aiserta lanaohC

aiserta lanaohC

Page 49: Endoscopy of the Airway Dave Albert

noitatneserP –aiserta lanaohc laretaliB

ycnegreme yrotaripser latanoen Adepat htiw tnemeganam etaidemmI -

yawria laro nikrow EGRAHC tnegrU - TC? dna pu

nacssnarT - keew tsrif ni noitcerroc lasanefil fo

aiserta lanaohC

Page 50: Endoscopy of the Airway Dave Albert

C' 6 eht fo 4 -H-A-R-G- .serutaef 'E

C amobolo H trae esaesid A aisert eanaohc R dedrate tnempoleved dna htworg G latine aisalpopyh E ra seilomona ssenfaed ro/dna

Page 51: Endoscopy of the Airway Dave Albert

noitatneserP –aiserta lanaohc laretalinU

noN - lasan laretalinu htiw noitatneserp tnegrunoitcurtsbo dna egrahcsid

nacs TC enituoR

1 noitcerroc evitcelE - sraey 5

aiserta lanaohC

Page 52: Endoscopy of the Airway Dave Albert

sisongaid laitnereffiD• sitinihr latanoeN• sessaM

– ecaps lasan tsoP• amotareT

– ecaps lasan roiretnA• amoilG• diomred lasan enildiM• eleocognineM

• mrofiryp dna lasan diMsisonets erutrepa

• )laretalinu fi ydob ngieroF(

aiserta lanaohC

Page 53: Endoscopy of the Airway Dave Albert
Page 54: Endoscopy of the Airway Dave Albert
Page 55: Endoscopy of the Airway Dave Albert

021 htiw hcaorppa lasan snarT ° epocselet

Page 56: Endoscopy of the Airway Dave Albert

srotalid dna enilanerdA

aiserta lanaohC

Page 57: Endoscopy of the Airway Dave Albert
Page 58: Endoscopy of the Airway Dave Albert

021 htiw hcaorppa lasan snarT ° epocselet -noitatalid

Page 59: Endoscopy of the Airway Dave Albert

021 htiw hcaorppa lasan snarT ° epocselet -gnillird

Page 60: Endoscopy of the Airway Dave Albert
Page 61: Endoscopy of the Airway Dave Albert

stnetS

• sesac laretaliB– diova ot eceip egdirb lanretxE

allemuloc ot egamad– skeew 6– dedeen fi etalid ylnO– mret rof xetroP 5.4

• laretalinU– diovA– lasanartnI

aiserta lanaohC

Page 62: Endoscopy of the Airway Dave Albert

nicymotiMbuS - stsalborbif stibihni esod cixototyc

setunim 4 rof yllacipot deilppa lm/gm 2

riapeR aisertA lanaohC ot tcnujdA na sa nicymotiM lacipoT -.lognyralotO hcrA 893:821;2002 - 004 .

nicymotiM gnisU emoctuO devorpmI aisertA lanaohC fo tnemeganaM lacigruS ( ) Lm/gm 4.0.lognyralotO hcrA 5731:721;1002 - .0831

,esadinorulayh ,esatsale( snietorp xirtam ralullecartxe emos rof ANRm fo noisserpxe ehT

spuorg tset nicymotim eht ni detalugernwod saw )negallocorp dna

732:)2(311 .epocsognyraL - 3002 yraurbeF ,242

aiserta lanaohC

Page 63: Endoscopy of the Airway Dave Albert

sisonetS mrofiryP

Page 64: Endoscopy of the Airway Dave Albert

EVISSERGORP

Page 65: Endoscopy of the Airway Dave Albert

PRRJ :noitinifeD

J ellinevusraey3 sisongaid ta ega naeM

esaesid tluda naht evissergga eroM

R tnerruce12 = serudecorp emitefil egarevA

R yrotaripsexnyral yllausU

regnuoy eb ot sdnet xnyral woleb sdnetxe fI

P sisotamollipaamonicrac ot noissergorp dna aisalpsyd erar htiW

Page 66: Endoscopy of the Airway Dave Albert

sepyt VPH6

PRRJ/straw latineg ngineB11

ereves erom htiw detaicossa 11 ,PRRJ nI nevelE“ esaesid Ξ ”nevaeH

61recnac lacivreC

81

Page 67: Endoscopy of the Airway Dave Albert

amollipap yrotaripser ellinevuJ

Page 68: Endoscopy of the Airway Dave Albert

• rivofodiC– lm/gm5– gm51 = lm3

• tifeneB/ksiR

Page 69: Endoscopy of the Airway Dave Albert

amoignameaH cittolgbuS

Page 70: Endoscopy of the Airway Dave Albert

amoignameaH cittolgbuS

• 6 ta skaep noitatneserPskeew

– ,rodirts– ,seitluciffid gnideef– TTF

• laretal tfel si etis lausUsittolgbus

• aehcart ni yllanoisaccOsittolg dna

Page 71: Endoscopy of the Airway Dave Albert

amoignameaH cittolgbuS• evah HGS htiw stneitap fo %05

suoenatuc kcen dna daeh detaicossaamoignameah

• ypocsodne ta sisongaiD• sa ylefas deispoib eb naC

suonrevac ton yrallipacamoignameah

Page 72: Endoscopy of the Airway Dave Albert

tnemeganaM– suoenatuC sserger yllausu

6 yb - sraey 8

– cittolgbuS etulovni era tsom taht os yltneiciffus

2 yb citamotpmysa - sraey 3

• noitavresbO 05 - a deen lliw %07

81 tuoba litnu ymotsoehcartshtnom

stnemtaert lacideM

stnemtaert lacigruS

Page 73: Endoscopy of the Airway Dave Albert

tnemeganaM• norefretnI• sdioretS• lolanarporP

• ymotsoehcarT

• 0C/PTK resaL 2

• noitcejni dioretS

• noisicxe nepO

• redirbedorciM

Page 74: Endoscopy of the Airway Dave Albert

8002 yluJ ,klubed retfa yhcart,HGS :tneitap SOG tsriF

Page 75: Endoscopy of the Airway Dave Albert

lolonarporP

1 1keeW .sesod 3 otni dedivid yad/gk/gm

:2 keeW 2 sesod 3 otni dedivid yad/gk/gm

21/9 ot pU thgiew yb tsujda

21/9 morF tnemtsujda thgiew on

21/21? .keew yreve esod ½

Page 76: Endoscopy of the Airway Dave Albert

amoignameaH cittolgbuS• fo noitceser cipocsodnE

amoignameah

Page 77: Endoscopy of the Airway Dave Albert

sruomuT

• tsenommoc PRR• amordnohC

• 2 aC suomauqS dn PRR• amocrasoymodbahR• amohpmyL• ralucsaV - sraeppasid

Page 78: Endoscopy of the Airway Dave Albert

aicalamohcnorboehcarT

Page 79: Endoscopy of the Airway Dave Albert

htiw noitaripxe no noitcurtsbo gnisaercni dna espalloCnoitcurtsbo cicaroht artni

+ ev + ev + ev

cicaroht-artxE

artnI cicaroht-

+ ev + ev + ev

Page 80: Endoscopy of the Airway Dave Albert

aicalamohcnorboehcarT yramirP

oitaR elcsum ot egalitraC eb dluohs 1:2

2

1 1

3.1

Page 81: Endoscopy of the Airway Dave Albert

aicalamohcnorboehcarT yradnoceS

• noisserpmoC

Page 82: Endoscopy of the Airway Dave Albert

aicalamohcnorboehcarT sisongaiD

sedosipe citonayC

hguoC

noitaripsA

yrotaripxE

BLM

– gnitnilps yawria ro lacisyhp diovA)sisongaidrednu(

– )sisongaidrevo( gnihguoC

• yhpargohcnorB

• rodirts

Page 83: Endoscopy of the Airway Dave Albert
Page 84: Endoscopy of the Airway Dave Albert

aicalamohcnorboehcarT

• sisongorP– 81 yb sevorpmi yllausU

shtnom

– )lataf( ereves eb naC

• tnemtaerT

– yxepotroA

– yxepohcnorB

– stnetS

Page 85: Endoscopy of the Airway Dave Albert

amorgyH citsyC

Page 86: Endoscopy of the Airway Dave Albert

ETUCA

Page 87: Endoscopy of the Airway Dave Albert

sitittolgipE etucA

b epyt eazneufnI .H TO ni etabutnI 3 egA – sraey 6

revef ,gniloord ,taorht eroSdednetxe kcen ,noitisop thgirpU

Page 88: Endoscopy of the Airway Dave Albert

suriv azneulfniaraPsraey 3 ot shtnom 3 segA

hguoc gnikraBylwols sessergorP

noitabutni seriuqer yleraR

)puorC( sitihcnorboehcartognyraL

Page 89: Endoscopy of the Airway Dave Albert

ssecsbA laegnyrahporteR

Page 90: Endoscopy of the Airway Dave Albert

sitiehcart lairetcaB

• sueruA hpatS

• ulF .H

Page 91: Endoscopy of the Airway Dave Albert

BF laegnyraL

Page 92: Endoscopy of the Airway Dave Albert

seidob ngieroF laihcnorB

Page 93: Endoscopy of the Airway Dave Albert

noitaripxE noitaripsnI