Ch. 18: Blind Intubation Techniques

Question 1

Blind Intubation

Answer 1

• Rarely done now due to RSI and Video laryngoscopes
• Use if intubation needed & RSI not possible and difficult airway w/o ability for awake intubation.

Question 2

Blind Nasotracheal Intubation

Answer 2

• PreOxygenate
• Explain
• Right preferred if equal size
• Vascoconstrict oxymetolazone or phenylephrine
• 2% lidocaine on nasal airway. Dilate up if time.
• Posterior oropharynx w 4% lidocaine
• 6 to 7.0 for nose.
• Capnography
• Leading edge lateral and follow the floor of the nose, under the inferior turbinate.
• Rotate clockwise if resistence at nasopharynx to avoid perforation.
• Look for square capnograph.
• Advance during inspiration w cricoid pressure
• Should be 3cm deeper than oral ETT.