Airway - Nasotracheal Intubation

MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C56816.39401F40" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C56816.39401F40 Content-Location: file:///C:/B133D639/SP9.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Airway - Nasotracheal Intubation

Airway - Nasotracheal Intubati= on

Clinical Indications:<= /o:p>

= ______ 1. A spontaneously breathing patient in need of intubation (inadequate respirato= ry

effort, evidence of hypoxia or carbon dioxide retention= , or need for airway protection.)

= ______ 2. Pati= ent must be 12 years of age or older.

Procedure:

= ______ 1.      Prem= edicate the patient with nasal spray.

= ______ 2.      Sele= ct the largest and least obstructed nostril and insert a lubricated nasal airway to help dilate the nasal passage.

= ______ 3.      Preo= xygenate the patient. Lubricate the tube.

= ______ 4.      Remo= ve the nasal airway and gently insert the tube keeping the bevel toward the septum= (a gentle rotation movement may be necessary at the turbinates.)

= ______ 5.      Cont= inue to pass the tube while listening for maximum air movement.

= ______ 6.      The = point of maximum air movement indicates the level of the glot= tis, gently and evenly advance the tube through the glottic opening on inspiration.

= ______ 7.      Upon entering the tube may cause the patient to cough, buck, strain, or gag. Do not remove the tube for this is normal. Be prepared to contro= l the cervical spine and the patient, and be alert for vomiting.

= ______ 8.      Ausc= ultate for bilateral equal sounds and absence of epigastric sounds. Observe for symmetrical chest expansion. The 15cm usually r= ests close to the nostril with proper positioning.

= ______ 9.      Infl= ate the cuff with 5-10 cc of air.

= ______ 10. Conf= irm tube placement using an end-tidal CO2 monitoring or esophageal bulb device.=

= ______ 11. Secu= re the tube.

= ______ 12. Docu= ment the procedure, time, and results in the electronic PCR.

Certification Requirements:

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

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