DIFFICULT AIRWAY
(Unexpected in RSI & ROUTINE INTUBATIONS)
LARYNGOSCOPY
S.A.D (eg: iGEL)
FACEMASK VENTILATION
(FMV)
CRICOTHYROIDOTOMY
VENTILATE @ 100% OXYGEN
SUCCESS = INTUBATE
ADEQUATE ANAESTHESIA & PARALYSIS
BOUGIE, CRICOID OFF, EXT. LARYNGEAL MANIPULATION
VIDEO LARYNGOSCOPE (4 attempts max at DL/VL)
INTUBATE VIA SAD?
WAKE PATIENT?
CONTINUE WITH SAD?
TRACHY?
RISKS v BENEFITS
ALWAYS PRE-OXYGENATE. USE PILLOW PROPERLY. HEAD POSITIONING OPTIMAL. HAVE EMERGENCY TOOLS READY.
2ND GEN DEVICE RECOMMENDED
Max of 3 attempts to change
device and size
FINAL ATTEMPT TO FMV
UNABLE TO FMV = PARALYSEFMV WITH GUEDEL & 2-PEOPLE
SUCCESS = WAKE PATIENT UP
CALL HELP
LOADING AWESOME
Graphic By:
SIZE 10 SCALPEL, BOUGIE, SIZE 6 ETT
Declare
'FAILED INTUBATION'
Declare
'FAILED S.A.D VENTILATION'
DECLARE
'CICO'Source: www.das.uk.com
Dr. David Lyness
@Gas_Craic
propofology.com
FACE MASK VENTILATION
& ENDOTRACHEAL INTUBATION
MAINTAIN OXYGENATION