Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT x2 sizes, Blade x2, OPA, Suction, Video scope, LMA, Ventilator, Cric kit, Bougie, Don PPE, Capnograph
PLAN
o Assess for difficult airway (LEMON)
o Anticipate risks (HOpI killers)
o Approach: RSI / DSI / Awake
o Pre-Medication and Paralytics
o Primary and secondary airway plan
o Emergency plan/Cric preparations
PREPARATION/INDUCTION
o Position patient, adjust height of bed
o De-nitrogenation
o Push medications and wait
VISUALIZATION/TUBE PLACEMENT
o Insert Laryngoscope
o “Call the view” and suction if needed
o Adjust view if needed
o Place tube, withdraw stylete
CONFIRMATION
o Auscultate
o Capnography
o Repeat DL/VL if uncertain
POST INTUBATION MANAGEMENT
o Secure ETT
o Reassess hemodynamics and oxygenation
o Analgesia/Sedation plan
o Ventilator settings
o Connect in-line suction
o Place NG/OG Tube
o ABG (ideally at least 10 min post intubation)
o Chest radiograph (ideally post NG placement)
o HOB > 30 degrees
- Nick Mark MD @nickmmark
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