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  • Failed Intubation Drill Jan 10

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    Suni Abraham
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    The document outlines a "Failed Intubation Drill" procedure to follow if intubation is not initially successful. It involves checking if vocal cords were visualized, inserting an airway and ventilating with oxygen. If still not successful, it involves repositioning the head and neck and reattempting intubation with direct vision or after clearing an airway. If still not possible, other airway techniques like a laryngeal mask airway or cricothyrotomy are considered to maintain oxygenation and ventilation before continuing standard management.

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    Failed-Intubation-Drill-Jan-10

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    The document outlines a "Failed Intubation Drill" procedure to follow if intubation is not initially successful. It involves checking if vocal cords were visualized, inserting an airway and ventilating with oxygen. If still not successful, it involves repositioning the head and neck and reattempting intubation with direct vision or after clearing an airway. If still not possible, other airway techniques like a laryngeal mask airway or cricothyrotomy are considered to maintain oxygenation and ventilation before continuing standard management.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    41 views1 page

    Failed Intubation Drill Jan 10

    Uploaded by

    Suni Abraham
    The document outlines a "Failed Intubation Drill" procedure to follow if intubation is not initially successful. It involves checking if vocal cords were visualized, inserting an airway and ventilating with oxygen. If still not successful, it involves repositioning the head and neck and reattempting intubation with direct vision or after clearing an airway. If still not possible, other airway techniques like a laryngeal mask airway or cricothyrotomy are considered to maintain oxygenation and ventilation before continuing standard management.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Failed Intubation Drill

    (Revised: January 2010)

    If Intubation is not successful the following “Failed Intubation Drill” MUST BE FOLLOWED

    Were vocal cords visualised during


    No Initial laryngoscopy? Yes

    Insert OP airway and


    ventilate with 100% o2

    Check head /neck position


    BURP manoeuvre

    Re-attempt intubation under direct Objective confirmation


    Vision, after suction or removal of of tracheal placement
    foreign body, as required (ODD ETCo2)?

    Immediately remove ETT


    and insert OP or NP airway No YES
    and re-ventilate with 100% O2

    Continue management in
    DO NOT CONTINUE WITH FRUITLESS accordance with the
    ATTEMPTS TO INTUBATE UNDER relevant CMG
    DIRECT VISION

    Able to Attempt digital placement


    oxygenate and YES (on appropriate patients)
    ventilate?

    If unsuccessful insert LMA


    No

    CONSIDER Able to
    No oxygenate and YES
    ventilate?

    CRICOTHYROTOMY Continue management in


    accordance with the
    relevant CMG
    Incident report to be
    submitted

    ACT Ambulance Service Clinical Management Manual


    Uncontrolled when printed. The latest version of this document is available on the ACT Ambulance Service internet site.
    Page 1 of 1

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