This is the adult supraglottic airway device 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 reservoir bag and mask
oxygen tubing with and oxygen tank and regulator
airway adjuncts
a colorimetric device
a securing device
a suction canister with the appropriate catheters.
and a supraglottic airway device
For this demonstration I will be using the king airway.
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 oropharyngeal 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'm going to assemble my equipment.
I've lubricated the distal end of the tube
and I've attached the 60cc syringe to the tube
I'll now have my partner remove the oropharyngeal airway
I'll position the patients head appropriately
perform the tongue jaw lift
and insert the tube to the proper depth
Once inserted I'll inflate the balloon with the proper volume
and immediately remove the syringe.
After removing the syringe, I'll attach the BVM to the tube
and begin ventilating.
I'll now have my partner take over ventilations
so I can confirm placement by auscultation.
After confirming the placement of our tube, we use a secondary device to confirm our tube.
We'll attach the colorimetric device to the tube
and then secure it.
Once the tube is secured, I will resume ventilations.
We want to ventilate the patient at the appropriate rate and volume
as well continue to monitor their capnography and SPO2 readings.