Lecture Notes: Airway Management and Intubation

Key Points

• Breathing Techniques

  • Importance of deep breathing
  • Encouragement to breathe all the way in

• Patient Preparation

  • Demonstrating procedures after patient becomes apneic (stops breathing)
  • Use of an Oropharyngeal Airway (OPA) to help open the airway

• Mask Ventilation

  • Look for signs such as:
    • Chest rise
    • Menthol (possibly referring to a sensory check)
    • Unplugging of the mask
  • Purpose: Allows time for medication to take effect

• Intubation Procedure

  • Use of a GlideScope for visualization
  • Positioning:
    • Go midline with the scope
    • Use screens to view anatomy
    • Identify anatomical landmarks, e.g., course wide opening

• Tube Placement

  • Stylet insertion method
  • Placement at 24 (presumably centimeters on the tube)

• Confirmation of Tube Placement

  • Check for:
    • Misting in the tube
    • Chest expansion
    • End-tidal CO2 monitoring

Additional Notes

• The process involves careful coordination and observation to ensure correct placement and function of the airway management equipment.
• Techniques and equipment like the GlideScope are crucial for successful intubation in patients who are apneic.