What are the steps to intubation?

What are the steps to intubation?

Tilt the head into extension and anchor it there with your left hand. Anchoring the head frees your right hand. Open the mouth with your right hand by placing your thumb on the lower jaw and your middle finger on the upper jaw. The position is similar to snapping your fingers.

How do you remember RSI drugs?

When I was an intern, an ER nurse taught me that the way to remember the sequence of medications in a RSI is to know that “you date before you suck.” It sounded very graphic but was memorable.

What is the step before intubation?

Intubation Steps Before intubation, the patient is usually sedated or not conscious, allowing their mouth and airway to relax.

What is the nurse’s role during intubation?

Nurses should ensure the patient is attached to adequate monitoring equipment – ECG, arterial line and saturation probe – and suction and oxygen should be checked and available. Some anaesthetists prefer high-vacuum suction to the normal suction generally available. The patient should have patent intravenous access.

When is rapid sequence intubation done?

Rapid sequence intubation (RSI) is a technique that is used when rapid control of the airway is needed as a precaution for patients that may have a ‘full stomach’ or other risks of pulmonary aspiration.

How do you perform RSI?

The steps in performing RSI are often described by the six “P’s”: preparation, preoxygenation, pretreatment, paralysis and induction, placement of the tube, and postintubation management (Fig. 5.1).

What must you assess before attempting intubation?

Assessing potential difficulties for bag-valve-mask ventilation and laryngoscopy should be completed before any attempt at intubation. Factors that increase the risk of a difficult bag-valve-mask ventilation include facial hair, obesity, being edentulous, advanced age, and history of snoring.

What are the nursing interventions immediately after intubation?

Place in-line suction. Provide analgesia and sedation if appropriate. Watch for signs of aspiration past the endotracheal tube (ETT) cuff. Assess vital signs and continue any necessary critical care or resuscitation.

How is rapid sequence intubation different?

One important difference between RSI and routine tracheal intubation is that the practitioner does not typically manually assist the ventilation of the lungs after the onset of general anesthesia and cessation of breathing, until the trachea has been intubated and the cuff has been inflated.

What drugs are given before intubation?

[4] Common sedative agents used during rapid sequence intubation include etomidate, ketamine, and propofol. Commonly used neuromuscular blocking agents are succinylcholine and rocuronium. Certain induction agents and paralytic drugs may be more beneficial than others in certain clinical situations.

Why do you give lidocaine before intubation?

Intravenously administered lidocaine prevents intracranial hypertension during endotracheal suctioning.

Can nurses push propofol for intubation?

While it generally is accepted for RNs to administer propofol on a slow drip in intensive care units where most patients are intubated and mechanically ventilated, nurse-administered propofol is expanding to gastrointestinal endoscopy, ophthalmology, plastic surgery, and dental surgery.