AIRWAY

MANAGEMENT
& ASSISTED
VENTILATION

Prepared by: Ashley Nicole V. Taperla, RN

ENDOTRACHEAL INTUBATION
Advanced airway insertion during CPR
• Allowable duration of interruption in chest compressions during
endotracheal intubation: <10 seconds
• Insertion of supraglottic airway should not entail interruption in
chest compressions
ENDOTRACHEAL INTUBATION
PROPER LOCATION

CLINICAL PARAMETERS
• Visualization of the tube between the vocal cords
• Symmetric chest wall expansion
• Absent epigastric sounds
• Bilateral breath sounds
 ASSISTED VENTILATION

VENTILATION TECHNIQUE
• Use an adult self inflating bag
• Deliver adequate tidal volume sufficient to chest rise
• Ventilation rate:
• If with advanced airway in place: 1 breath: 6 seconds
continuous chest compressions
• If without an advanced airway in place: 2 breaths after every
30 chest compressions
• Avoid excessive ventilation
 INTUBATION
INDICATIONS
1 Inadequate oxygenation and ventilation

Altered mental status (e.g., head injury,

2 drug overdose) for airway protection

Anticipated airway obstruction (e.g., facial

3 burns, epiglottitis, major facial or oral
trauma)
4 Upper airway obstruction (e.g., from
swelling, trauma, tumor, bleeding)

5 Apnea
 INTUBATION
INDICATIONS
6 Ineffective clearance of secretions (i.e.,
inability to maintain or protect airway
adequately)
7 High risk of aspiration

8 Respiratory distress, respiratory failure