Endotracheal Intubation Protocol

Front 1

Indications

Back 1

Need for ventilatory assistance or airway control

AND

other BLS airway management is inadequate

Front 2

When do we use xylometazoline?

Back 2

for Nasal intubation - vasoconstriction of the nares

Front 3

What are the conditions for Nasal tracheal intubation? (2)

Back 3

greater or equal to 8 years old

AND

breathing spontaneously

Front 4

Contraindication for Lidocaine? (2)

Back 4

Allergy and sensitivity

Unresponsive patient

Front 5

Contraindications for Oral tracheal Intubations

Back 5

• Age < 50 and current episode of asthma exacerbation and not in or near cardiac arrest

Front 6

Contraindications for nasal tracheal intubation (5)

Back 6

Age < 50 and current episode of asthma exacerbation and not in or near cardiac arrest
Suspected basal skull fracture or mid face fractures
uncontrolled epistaxis
anticoagulant therapy (excluding ASA)
Bleeding disorders

Front 7

How many sprays of oltrivin can we give?

Back 7

2 sprays

Front 8

how many lidocaine sprays?

Back 8

10 mg/spray but it's 5mg/kg to a max of 20 sprays

Front 9

How many attempts do we have to intubate patient

Back 9

2

Front 10

What is defined as an attempt?

Back 10

insertion of the laryngoscope blade into the mouth

Front 11

What are the primary method and secondary methods for tube placement?

Back 11

Primary: visualization, auscultation and chest rise

Secondary: ETCO2, EDO and other

Front 12

What is the formula for paediatric tube size >/= to a year old?

Back 12

(Age in years /4) + 4 - Uncuffed

(Age in years /4) + 3.5 - cuffed

Front 13

What is the depth of an ETT for children > 2 years?

Back 13

(Age in years/2) + 12

OR

tube size x 3