Advancing the airway

Question 1

How do we explain how to use the laryngoscope?

Answer 1

holding the laryngoscope in the left hand.
Going in the patient’s mouth at the right side
sweeping the tongue out the way to the left.
Advancing into the vallecular space to allow me to visualize the vocal cords.

Question 2

What are we doing to the capnography?

Answer 2

putting this into the defib to calibrate it.
- help confirm advanced airway
- Show good CPR is in progress
- we are looking for a box waveform
- we are also looking for a reading of 1-2KPA.
- Spike in reading can be an indicator for aa ROSC.

Question 3

How is the circuit built?

Answer 3

igel
catheter mount
filter
ECO2
BVM
secured with a Thomas tube holder or tape.

Question 4

Equipment needed to gain an advanced airway ?

Answer 4

sterile field (yellow bag)
- Laryngoscope
- Miguel forceps
- igel
- lube
- catheter mount
- filter
- ETCO2
- Thomas tube holder
-Suction (if available or needed)

Question 5

How do we advance the airway?

Answer 5

• Remove any OP/NP
• visually inspect the airways/ inspect with a laryngoscope.
• if clear insert igel and attach the advanced circuit.
• Confirm igel position

Question 6

How do we confirm igel position ?

Answer 6

• misting of the tube
  -is there resistance while bagging
• do we have equal chest rise and fall
  -Auscultate the patient chest listening for good equal bilateral air entry.
• box wave form
• ETCO2 reading between 1 and 2 KPA.