Professional Documents
Culture Documents
Recognition of Airway
Obstruction
Recognition of Airway
Obstruction
Patient Assessment
Level of consciousness
Spontaneous efforts vs. apnea
Airway and cervical spine
injury
Chest expansion
Signs of airway obstruction
Signs of respiratory distress
Protective airway reflexes
Adequate
oxygen supplementation
Inadequate
manual assisted
ventilation
Single-Hand Method
of Facemask Application
Two-Hand Method of
Facemask Application
Indications
Demonstration
Identify leak
Reposition face mask
Improve seal along cheek(s)
Slightly increase downward
pressure over face or neck
extension (if no cervical spine
injury)
Use two-hand technique
Decompress stomach
Degree of Difficulty
Micrognathia
Cervical spine status
Facial injury, surgery, scarring
Thyromental distance (short neck)
Mouth opening and Mallampati classification
Mallampati Classification
Orotracheal Intubation
Preparation
Orotracheal Intubation
Preparation
Orotracheal Intubation
Technique
Orotracheal Intubation
Technique
Insertion of
laryngoscope blade
tongue control
Tongue displacement
medially visualize
epiglottis
Orotracheal Intubation
Technique
Advance laryngoscope
into position (vallecula
for curved blade;
under epiglottis for
straight blade)
Elevate base of tongue
and expose glottic
opening
Orotracheal Intubation
Technique
Orotracheal Intubation
Technique
Orotracheal Intubation
Technique
Straight blade
position, elevating
the epiglottis
Be aware of
laryngospasm when
epiglottis is
touched
Pediatric Considerations
Pediatric Considerations
Pediatric Considerations
visualization of glottis
Trachea relatively short so mainstem
intubation may occur more easily
Depth of insertion estimated by
multiplying internal diameter of
endotracheal tube by 3
(e.g., 4.0 tube 3 = 12 cm insertion
depth)
Key Points