intubation procedure

7/29/2019 intubation procedure

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Done for surgical procedures in whichthe patient receives general anesthesia

(patient is completely sedated)

Performed in some emergencies such

as codes, or airway trauma


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1. Protects the airway fromaspiration.

2. Allows for intermittentventilation with 100% Oxygen.


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3. Makes the trachea available forsuctioning.

4. eliminates potential for gastricdistention.


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Disposable exam gloves PPE - Mask, face shields, gowns etc.Kelly clamp or hemostat

Magill forcepsto remove foreignobject or used for nasotracheal

intubation


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Water soluble lubricant Suction set up with flexiblecatheter/suction kit & Yankauer

Tape 1 and 2 inch sizes or ET tubeholder


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Tincture of Benzoin solution &cotton applicators

Oral airways Stethoscope


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Bag-valve mask apparatus Humidified oxygen source

sterile gauze pads


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Procedure


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Patient should be pre-oxygenatedbefore procedureduring a code the

patient is bagged while equipment is

being set up & before a second attend

if initial attempt is unsuccessful


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Equipment should be readilyavailable and with in reach

The patients head should be in the

sniffing position the neck is

flexed and the head extended


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Open the patients mouth and insert thelaryngoscope and blade to the right of

the mouth then move toward the

midlinethis maneuver moves the

tongue out of the way. (laryngoscope is

always held in the left hand)


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Lift up and away from youas you lift you move the

epiglottis out of the way to

visualize the vocal cords (next

slide)


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(if you use a curved blade it ispositioned between the base of

the tongue and the epiglottis.)


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Use your right hand to introduce theendotracheal tube in the space between

the vocal cords it should be advanced

approximately 2 inches under direct

vision so that the cuff is below the

vocal cords.


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An assistant should be ready tostabilize the ET tube

Remove the laryngoscope & blade

Remove the Stylette


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An assistant should inflate the

pilot balloon on the ET tube

Attach BVM and ventilate patient

Auscultate to verify the lungs are

being ventilated


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Secure the ET tube in place (tapeor tube holder) note number at lip

while taping

An X-ray should be done to

confirm placement.


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intubation procedure

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