Intubation - Revision history

Danbot: Strip excess bold

2026-03-22T09:28:05Z

Strip excess bold

← Older revision		Revision as of 09:28, 22 March 2026
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	==Considerations==		==Considerations==
	*2015 AHA ACLS guidelines deemphasize placement of ~~'''~~advanced airway~~'''~~ placement in ~~'''~~''initial resuscitation~~'''~~''		*2015 AHA ACLS guidelines deemphasize placement of advanced airway placement in ''initial resuscitation''
	*Out-of-hospital arrest data suggests lower survival of those intubated in field<ref>Hasegawa K et al. Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest. JAMA 2013 Jan 16; 309:257.</ref>		*Out-of-hospital arrest data suggests lower survival of those intubated in field<ref>Hasegawa K et al. Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest. JAMA 2013 Jan 16; 309:257.</ref>
	*108,000 patients examined in U.S. registry of inpatient hospital arrests, with 95% of intubations occurring within 15 min of resuscitation<ref>Angus DC.Whether to intubate during cardiopulmonary resuscitation: Conventional wisdom vs big data. JAMA 2017 Feb 7; 317:477.</ref>		*108,000 patients examined in U.S. registry of inpatient hospital arrests, with 95% of intubations occurring within 15 min of resuscitation<ref>Angus DC.Whether to intubate during cardiopulmonary resuscitation: Conventional wisdom vs big data. JAMA 2017 Feb 7; 317:477.</ref>
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	===Difficult Intubation (LEMON)===		===Difficult Intubation (LEMON)===
	*~~'''L'''ook~~ externally (gestalt)		*Look externally (gestalt)
	*~~'''E'''valuate~~ 3-3-2 rule		*Evaluate 3-3-2 rule
	*~~'''M'''allampati~~		*Mallampati
	*~~'''O'''bstruction~~		*Obstruction
	*~~'''N'''eck~~ mobility		*Neck mobility

	==Equipment Needed==		==Equipment Needed==
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	**Leave nasal cannula on for apneic oxygenation if possible		**Leave nasal cannula on for apneic oxygenation if possible
	*Laryngoscope (type based on clinical indication and provider preference)		*Laryngoscope (type based on clinical indication and provider preference)
	**[[Direct laryngoscopy\|Direct laryngoscope]] with blade of provider's choice ~~'''~~or~~'''~~		**[[Direct laryngoscopy\|Direct laryngoscope]] with blade of provider's choice or
	**[[Video Laryngoscopy\|Video laryngoscope]] (Glidescope, C-Mac, KingVision, etc.) ~~'''~~or~~'''~~		**[[Video Laryngoscopy\|Video laryngoscope]] (Glidescope, C-Mac, KingVision, etc.) or
	**Optical stylet (Shikani, Levitan, etc.) ~~'''~~or~~'''~~		**Optical stylet (Shikani, Levitan, etc.) or
	**Fiberoptic device		**Fiberoptic device
	*Endotracheal tube		*Endotracheal tube
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	==SOAP-ME Checklist Mnemonic==		==SOAP-ME Checklist Mnemonic==
	*~~'''S'''uction~~		*Suction
	*~~'''O'''xygen~~		*Oxygen
	**Nasal cannula		**Nasal cannula
	**Non-rebreather		**Non-rebreather
	**Bag-valve mask		**Bag-valve mask
	*~~'''A'''irways~~		*Airways
	**Endotracheal tube		**Endotracheal tube
	**Rescue devices		**Rescue devices
	**Adjuncts		**Adjuncts
	*~~'''P'''ositioning~~		*Positioning
	*~~'''M'''edications~~		*Medications
	*~~'''E'''quipment~~		*Equipment
	**Laryngoscope		**Laryngoscope
	**EtCO2		**EtCO2

Ostermayer at 15:57, 15 January 2026

2026-01-15T15:57:17Z

← Older revision		Revision as of 15:57, 15 January 2026
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	{{~~Adult top}} [[~~intubation (peds)]]		{{AdultPage\|intubation (peds)}}
	==Indications==		==Indications==
	[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]

Elcatracho: /* Equipment Needed */

2025-12-28T13:50:46Z

Equipment Needed

← Older revision		Revision as of 13:50, 28 December 2025
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	[[File:Larynx endo 2.jpg\|thumb\|Normal larynx.]]		[[File:Larynx endo 2.jpg\|thumb\|Normal larynx.]]
	[[File:Normal Epiglottis.jpg\|thumb\|Normal intubation view.]]		[[File:Normal Epiglottis.jpg\|thumb\|Normal intubation view.]]
	*Medications		*[[Rapid sequence intubation\|Medications]]
	**Induction agent		**Induction agent
	**Paralytic agent		**Paralytic agent

Masoodrm: /* Equipment Needed */

2024-06-13T01:24:00Z

Equipment Needed

← Older revision		Revision as of 01:24, 13 June 2024
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	**Induction agent		**Induction agent
	**Paralytic agent		**Paralytic agent
			*Pre-oxygenation devices (nasal cannula, non-rebreather, bag valve mask, etc.)
			**Oropharyngeal/nasopharyngeal airway for difficult to ventilate patients
			**Leave nasal cannula on for apneic oxygenation if possible
	*Laryngoscope (type based on clinical indication and provider preference)		*Laryngoscope (type based on clinical indication and provider preference)
	**[[Direct laryngoscopy\|Direct laryngoscope]] with blade of provider's choice '''or'''		**[[Direct laryngoscopy\|Direct laryngoscope]] with blade of provider's choice '''or'''
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	***[[Direct laryngoscopy\|Direct]] or Mactintosh-blade videolaryngoscopes require malleable stylets		***[[Direct laryngoscopy\|Direct]] or Mactintosh-blade videolaryngoscopes require malleable stylets
	***Hyperangulated [[Video laryngoscopy\|videolaryngoscopes]] require rigid stylets		***Hyperangulated [[Video laryngoscopy\|videolaryngoscopes]] require rigid stylets
	*~~BVM~~		*Bag valve mask
	*[[OPA]]/NPA
	*Method of preoxygenation (NC, NRB, C-PAP, etc)
	*Nasal cannula for [[apneic oxygenation]]

	==SOAP-ME Checklist Mnemonic==		==SOAP-ME Checklist Mnemonic==

Rossdonaldson1 at 20:30, 17 April 2024

2024-04-17T20:30:05Z

← Older revision		Revision as of 20:30, 17 April 2024
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	[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]
	[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]		[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]
			[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]
	[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]		[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]
	~~[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]~~
	[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]		[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]
	*Failure to ventilate		*Failure to ventilate

Rossdonaldson1 at 20:29, 17 April 2024

2024-04-17T20:29:39Z

← Older revision		Revision as of 20:29, 17 April 2024
Line 3:		Line 3:
	[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]
	[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]		[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]
	~~[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]~~
	[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]		[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]
	[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]		[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]
			[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]
	*Failure to ventilate		*Failure to ventilate
	*Failure to oxygenate		*Failure to oxygenate

Rossdonaldson1 at 20:28, 17 April 2024

2024-04-17T20:28:54Z

← Older revision		Revision as of 20:28, 17 April 2024
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	==Indications==		==Indications==
	[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]
			[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]
	[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]		[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]
	~~[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]~~
	[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]		[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]
	[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]		[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]

Rossdonaldson1 at 21:59, 10 April 2024

2024-04-10T21:59:53Z

← Older revision		Revision as of 21:59, 10 April 2024
Line 3:		Line 3:
	[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]
	[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]		[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]
			[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]
	[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]		[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]
	[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]		[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]

Rossdonaldson1: /* See Also */

2024-04-10T21:14:17Z

Rossdonaldson1: /* Video */

2024-04-10T19:58:32Z

Video

← Older revision		Revision as of 19:58, 10 April 2024
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	#If patient aspirates anticipate a sepsis-like syndrome		#If patient aspirates anticipate a sepsis-like syndrome
	#*May need [[pressors]], additional fluid (not antibiotic!)		#*May need [[pressors]], additional fluid (not antibiotic!)

	~~==Video==~~
	~~{{#widget:YouTube\|id=99X2-a4mdxc}}~~

	==See Also==		==See Also==

← Older revision		Revision as of 20:30, 17 April 2024
Line 3:		Line 3:
	[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]
	[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]		[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]
			[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]
	[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]		[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]
	~~[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]~~
	[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]		[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]
	*Failure to ventilate		*Failure to ventilate

← Older revision		Revision as of 20:29, 17 April 2024
Line 3:		Line 3:
	[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]
	[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]		[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]
	~~[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]~~
	[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]		[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]
	[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]		[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]
			[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]
	*Failure to ventilate		*Failure to ventilate
	*Failure to oxygenate		*Failure to oxygenate

← Older revision		Revision as of 20:28, 17 April 2024
Line 2:		Line 2:
	==Indications==		==Indications==
	[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]
			[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]
	[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]		[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]
	~~[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]~~
	[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]		[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]
	[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]		[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]

← Older revision		Revision as of 21:59, 10 April 2024
Line 3:		Line 3:
	[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]		[[File:F4.png\|thumb\|Oral cavity and oropharynx.]]
	[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]		[[File:F5.png\|thumb\|Larynx as visualized from the hypopharynx.]]
			[[File:F6.png\|thumb\|Sagittal section through the head and neck showing the subdivisions of the pharynx.]]
	[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]		[[File:Cartilages and ligaments of the larynx.png\|thumb\|The cartilages and ligaments of the larynx seen posteriorly.]]
	[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]		[[File:F8.png\|thumb\|External views of the larynx: (a) anterior aspect; (b) anterolateral aspect with the thyroid gland and cricothyroid ligament removed.]]

← Older revision		Revision as of 21:14, 10 April 2024
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	==See Also==		==See Also==
	*[[EBQ:Effect_of_video_laryngoscopy_on_trauma_patient_survival]]
	{{Related Difficult Airway Pages}}		{{Related Difficult Airway Pages}}
	{{Mechanical ventilation pages}}		{{Mechanical ventilation pages}}