This this adult direct oroltracheal intubation skill.
The first thing we will do for this skill is gather our equipment.
for this skill we will need
a stethoscope, the appropriate PPE
which will be gloves and eye protection
a BVM with a reservoir bag and mask.
airway adjuncts
oxygen tubing
with our oxygen tank and regulator
our colorimetric device
a laryngoscope handle and blades.
an ET tube with styla and syringe
a securing device
and a suction device with the appropriate catheders.
Now that we have assembled our equipment
and applied the appropriate PPE
We are going to prep our patient.
The first thing that we want to do is manually open the patients airway
and insert an oral pharyngeal airway
after inserting the adjunct, we want to provide
ventilations to our patient with our BVM
at a rate of 10 to 12 breathes per minute
with sufficient volume enough to see chest rise.
I would continue to provide ventilations to my patient
in order to preoxygenate them prior to the innovation.
I would also attach a pulse oximeter to monitor their SPO2 readings.
While my partner is preoxygenating my patient
I'll assemble my equipment.
I'll need to attach my laryngoscope blade to the handle
As well as assemble my ET tube
After my equipment is prepared
I'll have my partner remove the OPA
I'll now position my patients head appropriately.
Elevate the mandible with the blade
and insert the ET tube to the appropriate depth
Once the ET tube is inserted, I'll remove the stylet
inflate the balloon to the proper volume
and immediately remove the syringe.
Attach the BVM
I'll now have my partner resume ventilations.
and I will auscultate bilaterally over the lungs epigastrium to confirm tube placement.
After confirming placement we will use a secondary device to confirm placement.
we'll attach the colorimetric device to the tube.
and resume ventilations.
Now i'll take the securing device and secure the tube.
After the tube is secure, I'll resume ventilations.
and continue to monitor my patients capnography and SPO2 readings.