Airway - Orotracheal Intubation

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Airway - Orotracheal Intubatio= n

Clinical Indications:<= /o:p>

= ______ 1. An unconscious patient without a gag reflex who is apneic or is demonstrating =

inadequate respiratory effort or is unable to control their airway.

= ______ 2. Any patient medicated for rapid sequence intubation.

Procedure:

= ______ 1.      Prep= are all equipment and have suction ready.

= ______ 2.      Preo= xygenate and hyperoxygenate the patient.

= ______ 3.      Open= the patient’s airway. While holding the laryngoscope in the left hand, insert the blade into the right = side of the patient’s mouth sweeping the tongue to the left.

= ______ 4.      Use = the blade to lift the tongue and the epiglottis, either directly with the strai= ght (Miller) blade or indirectly with the curved (Macintosh) blade.<= /span>

= ______ 5.      Once= the glottic opening is visualized, insert the tube through the vocal cords and continue to visualize while passing the cuff through the cords.<= /span>

= ______ 6.      Remo= ve the stylet from the tube and inflate the cuff of the tube by inserting 5-10cc of air.

= ______ 7.      Ausc= ultate for bilateral equal breath sounds and absence of epigastric sounds. This should be repeated often espe= cially after movement of the patient.

= ______ 8.      Conf= irm the placement of the tube by using an end-tidal CO2 detector or esophageal = bulb device.

= ______ 9.      Secu= re the tube.

= ______ 10. Docu= ment the ETT size, time, results, and placement location (in cm at the level of = the patient’s teeth or gums) in the electronic PCR. Also include in documentation the procedures and devices used for confirmation of the tube.=

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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