Last Updated on July 16, 2022
“Intubation is not just about inserting an ET tube. You must know how to prepare the patient, recognize difficult airway. You must also need to make sure the patient survives post-intubation”
• Preparation
• Pre-Oxygenation
• Pre-Medication
• Paralysis with Induction
• Positioning
• Placement with Proof
• Post-Intubation Management
Introduction
• Also known as crash induction
• A special process for endotracheal intubation that is used when patient is at high risk of pulmonary aspiration
P1 — Preparation
Mnemonic: SOAP ME
• Suction device, Stethoscope, Syringe (10 mL)
• Oxygen: Bag-valve mask (±HFM) attached to 15L/min of O2
• Airway equipment
• Pharmacy (medication, Branula)
• Monitoring Equipment
Keywords
Laryngoscope, Bougie
P2 — Pre-Oxygenation
A process of denitrogenation for 3 – 5 minutes
Purpose: to establish O2 reservoir within lungs
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💡 If patient is breathing spontaneously (e.g. prior to administration of muscle relaxant), use high-flow mask
💡 In a spontaneously breathing patient, bag-valve mask is unable to deliver 100% O2
P3 — Pre-Medication
• Given 3 minutes prior to intubation
Related Posts
• Fentanyl
P4 — Paralysis with Induction
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P5 – Positioning
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P6 – Placement with Proof
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P7 – Post-Intubation Management
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Others
Common medications dose:
Further Reading
- Rapid Sequence Intubation (RSI) – Mnemonic Approach, EPOMEDICINE
Take Home Message