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Comment on this procedure
* Emergency intubation to be undertaken by the medical officer skilled in this procedure.
* Persons warranting E.I. must have a registered nurse in constant attendance.
* IV access made available.
* Cricoid pressure to be applied prior to intubation and removed only after cuff inflation.
* Cuff inflated to 200mmHg and no more than 30mmHg.
* Positioning of the ETT is verified by observing chest movement.
- Auscultation of the chest and stomach.
- Chest x-ray (reviewed by medical officer).
* ETT sizes ranging from 2.5mm to 9.5mm. Selection appropriate to patient size.
* Necessary drugs are prescribed and administered at medical officers request.
OUTCOMES: Patient airway available with means to maximise respiratory function.
EQUIPMENT: Oxygen
Suction
10ml syringe attached to buffered artery forcep
Laryngoscope
Magills forceps
Lubricant (H20 solution or L.A.)
1m white tape
Scissors
Geudel airway
R : 1.1
Laerdal resuscitation and mask
Yankeur sucker
Drugs as ordered
Stethoscope
Leucoplast tape
PROCEDURE:
* Excess secretions/foreign bodies removed from oropharynx prior to procedure.
* Patient pre-oxygenated with 100% oxygen.
* Patient placed in supine position with adequate access to the head.
* Drugs prepared and available close to IV access.
* Manual of mechanical ventialtion comenced when ETT in situ.
* Record size of ETT and placement at the lips.
* Observe and record respiratory observations.
Reviewed January 1996
R : 1.2
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