emergencies

Question 1

DAS

Answer 1

plan A: (face mask ventilation and tracheal intubation
optimise head and neck position
pre oxygenate 
adequate neuromuscular blockade
direct/ video laryngoscopy (max 3 + 1 attempts)
external laryngeal manipulation
bougie
remove cricoid pressure
maintain oxygen and anaesthesia

(confirm with capnography)

FAILED INTUBATION

plan B: (maintaining oxygenation, SAD insertion)
second generation device recommended
change device or size (max 3 + 1 attempt)
oxygenate and ventilate

(stop and think, consider risks and benefits.

1. wake patient up
2. intubate via SAD
3. proceed without intubation
4. trachyostomy or cricothyroidotomy

FAILED SAD INSERTION

plan C: (face mask ventilation)
if impossible, paralyse.
final attempt and face mask ventilation
use two person technique and adjuncts

(wake patient up)

DECLARE CICO

plan D: (emergency front of neck access)
scalpel cricothyroidotomy