Thursday, 22 August 2013

Question of the Day... Central Venous Pressure

Question:
Explain the procedure for orotracheal intubation.

Answer:

  1. Gather all equipment and required medications
    1. Laryngoscope
    2. Endotracheal tube
    3. Stylet/bougie
    4. Tape to secure ETT
    5. 10ml Syringe to inflate cuff with air
    6. Sedative such as midazolam
    7. Paralytic e.g. sux
    8. Ventilator
    9. Capnograph
  2. Pre-oxygenate with 100% Oxygen for 3-5 mins
  3. Position patient - sniffing the air position
  4. Administer medication
    1. Should be given with running IV fluids
  5. Laryngoscopy
    1. Pass ETT just beyond vocal cords
  6. Intubation
  7. Inflate cuff
  8. Check position via auscultation and capnograph
  9. Secure ETT
  10. Check CXR if applicable
It's usually easier to watch than read.


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