Direct laryngoscopy endotracheal intubation
Direct laryngoscopy endotracheal intubation
Essential equipment
Essential equipment
LaryngoscopeEndotracheal tubeStyletBVMSee Preparation for Intubation
Steps
Steps
Open mouth (by scissoring or pushing chin down)
Insert laryngoscope to patient’s right and sweep tongue to the left, visualizing uvula
Position laryngoscope correctly in oropharynx
Lift tongue and jaw, progressively visualizing epiglottis and then vocal cords
Pass tube into the mouth at the right corner of patient’s mouth (not along the laryngoscope blade)
Insert tube into trachea past vocal cords
Remove laryngoscope
Inflate cuff with tube at appropriate depth (3x ETT size to lip)
Confirm correct tube placement (ETCO2, chest rise, lung sounds, no stomach sounds, misting in tube, CXR)