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25 Cards in this Set
- Front
- Back
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What is your first step in Digital ETT intubation? |
Recognize the need for ventilator assistance or airway control and standard approach is unlikely to be successful. |
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You recognize the need for ventilatory assistance and airway control, and the standard approach is likely to be unsucessful, what are you going to do now? |
Initiate basic airway management:
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You have initiated your basic airway management maneuvers with no success what now? |
Realize basic airway management is inadequate or ineffective & a more advanced airway tx. is required. |
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What is the first thing you want to think of now? |
Personal protective equipment:
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What do you also want to confirm? |
That the patient is in respiratory arrest. |
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Your patient is in respiratory arrest, you have your PPE on what do you want to do now? |
Begin with your SLOPES mnemonic to prepare for Digital Intubation |
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What is the S in the SLOPES mnemonic for Digital Intubation? |
Suction Ready |
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What is the L in the SLOPES mnemonic for Digital Intubation? |
Not Applicable |
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What is the O in the SLOPES mnemonic for Digital Intubation? |
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What is the P in the SLOPES mnemonic for Digital Intubation? |
Place the pt. into the proper sniffing position, padding under the occiptal if necessary. |
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What is the E in the SLOPES mnemonic for Digital Intubation? |
Select the proper ETT tube:
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What is the final S in the SLOPES mnemonic for Digital Intubation |
Stylet ready (U shape, inserted into tube only 1-2cm before distal end) 10 cc Syringe ready |
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What are you going to do now to prepare to digitally intubate? |
Open the mouth using the cross finger technique if needed / suction if necessary. |
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You have opened the mouth using the cross finger technique, what are you going to do now? |
Insert the second & third fingers (index & middle) of the dominant hand into the pt's mouth, depressing the tongue toward the floor of the mouth. |
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You have inserted your second & third fingers into the pt's mouth, now what. |
Advance fingers until the epiglottis is felt. |
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You feel the epiglottis, now what. |
Lift the epiglottis with the tips of your fingers; spread fingers apart slightly to create a "channel" |
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You have crated a "channel with your fingers" what do you want to do now? |
Insert the ET tube in the right side of the mouth, advancing towards midline. |
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What do you want to do now? |
Direct the distal tip of the tube to pass over the channel created by fingers into the glottis opening. |
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You have passed the tip through the channel created by your fingers into the glottis opening, now what? |
Secure the tube against the upper teeth with the non-dominant fingers & withdraw your hand from the mouth. |
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You have withdrawn your hand from the mouth, now what will you do? |
Inflate the pilot balloon using the syringe - 5-10cc of air, ensuring a good seal. |
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You have inflated the pilot balloon using the syringe, now what will want to do? |
Attach superset / filter device (proper assembly required) with the BVM & Oxygen (30 sec. from start to ventilation) |
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You have your BVM and superset attached, now what? |
Attach the ETCo2 to the monitor - confirm tube placement with proper waveform. |
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You have attache the ETCo2 to the monitor, now what? |
Confirm your tube placement with:
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Your final step will be? |
Secure the tube with a tie / Thomas tube tie device. |
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What is something you need to consider for all ETT intubations (especially digital intubations) |
Re-confirm tube placement with ETCo2, 5-point auscultation and visualization of chest rise. |
