Endotracheal intubation 7P's
- Created by: KirstySargeant
- Created on: 17-07-21 09:38
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- ENDOTRACH-EAL INTUBATION
- 1. Preparation.
- Kit dump
- Plan A.B,C
- Allocate roles
- 2. Pre-oxygenate
- 100% 15L via BVM
- Adequate chest rise and fall
- Sats >92%
- ECG attached
- 8 Emergency breaths
- VERBALISE
- 3. Plan
- Communicate!
- Plan for procedure
- Fail planning and ensure assistant knows what is required of them
- Equipment for plan and fallback is in place and ready
- Kit Checklist completed
- 4. Position
- 360 degree access if possible
- Supine
- Consider lighting & environment
- 5. Protection
- Working Suction
- BURP
- Selicks
- Thyroid cartilage pressure
- 6. Placement- with proof!
- Visualise and verbalise
- Use a Bougie
- Check length at teeth 22-24cm (adults)
- Bilateral chest rise and fall
- Bilateral auscultation in 4 places
- ETC02
- 7. Post-intubation care
- Confirm ETT is secure prior to moving
- Attach to ventilator or BVM
- Keep monitor close by and in eyeline of primary clinician
- Document
- Pre-intubation assessment
- Procedure
- Observations
- 1. Preparation.
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