This is the pediatric innovation skill.
The necessary equipment for this skill
is a BVM with oxygen source,
a simple airway adjunct, laryngoscope and blade,
ET tube and stylet,
water soluble lubricant,
end-tidal capnography and colorimetric device
and a suction device with the appropriate catheter.
The recommended PPE for this skill are gloves and eye protection.
Once I have gathered all of my necessary equipment
I'm going to pad behind the patients shoulders
to maintain a sniffing neutral position.
Going to measure and insert
a simple adjunct using a tongue blade.
I'm then going to ventilate the patient.
at a rate of 12 to 20 breathes per minute allowing adequate chest rise.
I'm now going to have my partner continue to ventilate.
Once the patient is preoxyginated
and when my partner discontinues ventilations
and remove the airway adjunct
I'll be assessing for hypoxia throughout the innovation attempt.
Insert the laryngoscope.
displace the tongue, visualize the chords
insert the tube to the proper depth
remove the stylet
inflate the cuff if using a cuffed tube
and ventilate the patient.
I'll have my partner take hold of the tube and continue ventilation.
while I confirm placement by auscultation of the lungs bilaterally.
and over the epigastrium.
I'm going to attach the end tidal capnographer.
i'm going to secure the tube.
Once the tube has been secured
I'm going to continue to ventilate the patient
in an adequate depth and rate while observing for capnography and pulse oximetry.