Intubation Skills

Posted on: November 24, 2024, by :

S uction

O xygen

A irway Equipment

  • Laryngoscope (Direct), CMAC (Indirect)
  • ETT (several sizes), Stylet
  • ETCO2 detector (inline, colorimeter)

P ersonnel

  • Cricoid
  • Auscultation

Me dications

  • Premedicate (+/- Atropine)
  • Sedative (e.g., Etomidate, Fentanyl/Versed)
  • Paralytic (e.g., Vecuronium, Rocuronium,

      Succinylcholine)

Laryngoscope blade types:

Miller (straight): 00, 0, 1, 2, 3 (pick up epiglottis)

Wisconsin/Wishipple (straight with slight curve at end): 1, 1.5, 2, 2.5 (pick up epiglottis)

Macintosh (curved): 1, 2, 3 (insert into vallecula, for older patients)

Size of airway: 4 + Age/4

(1 year old: 4.0, for cuffed use ½ size smaller)          

Depth of insertion: On average, 3x size of tube (e.g. 4.0 tube should go in to 12 cm at lip)

(Ideally, double black line on uncuffed ETT should be at vocal cords or cuff should be past vocal cords.)

Gold standard confirmation with direct visualization with CXR. (Alternative options are: ETCO2, Colorimeter, Chest Rise, or Auscultation)

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