Intubation Steps Word Scramble
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| Term | Definition |
| Intubation Step:1 | Position Patient Head in sniffing position slight hyperextension |
| Intubation Step:2 | Adequately hyperoxygenate (resuscitation bag with 100% for 2 minutes |
| Intubation Step:3 | Hold laryngoscope in left hand ET Tube in right hand |
| Intubation Step:4 | Insert blade down the right side of the mouth, sweep tongue to the left. |
| Intubation Step:5 | Advance blade, lift epiglottis visualize vocalcords, (curve blade tip) = vallecula (straight blade tip) = epiglottis have suction available |
| Intubation Step:6 | Cricord Pressure = (Selleck Maneuver) is indicated if the larynx is in an anterior location |
| Intubation Step:7 | Insert tube, inflate cuff, assess tube position, ventilate, and oxygenate |
| Minimal Occluding Volume (MOV) | technique used to inflate cuff = 20-25 mmHg/25-30 cmH20 listen for air leak as cuff is inflated during positive pressure ventilation: STOP inflating at minimum volume necessary to eliminate air leak via trach or ET Tube |
| Minimal Leak Technique (MLT) | slowly inject air into the cuff during positive pressure inspiration until leak STOPS; A small amount of air is removed to allow a slight leak during peak inspiration. Remove the small amount to PREVENT aspiration |
| Assessment Of Tube Position Notice Sequence | 1. Inspection (look for bilateral chest expansion during inspiration) 2. Auscultation (breath sounds should be heard bilateral) 3. Capnography (CO2 Detector) 4. Chest X-ray ( tip of tube 2cm or 1 in ABOVE carina or at aortic knob/notch |
| Tube Maintenance Suctioning | Maintain patency |
| Tube Maintenance Humidification | * Prevent dehydration of tissue (100% Humidity @ 37.C) * Best way to prevent obstruction |
| Tube Maintenance Cuff Pressure | *Minimal leak *Minimal occluding volume *Use high volume/low pressure cuff =to or< 20mmHg) |
Created by:
sukarieh
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