Preoxygenate the patient +/- glycopyrrolate
Position the patient
Switch oxygenation from face mask to nasal cannula
Topical anesthesia
May be done via transtracheal route, allowing for possible Seldinger cricothyroidotomy, if necessary as a back-up.
5cc of 4% lidocaine nebulized at 5L/min
viscous lidocaine in back of throat
mucosal atomizer device or EZ atomizer of 3-4% lidocaine
Light Sedation
Visualization of anatomy
Intubate
Confirm Placement
Secure Endotracheal Tube
Sedation/analgesia for patient
May be done via transtracheal route, allowing for possible Seldinger cricothyroidotomy, if necessary as a back-up.
5cc of 4% lidocaine nebulized at 5L/min
viscous lidocaine in back of throat
mucosal atomizer device or EZ atomizer of 3-4% lidocaine
Awake intubation
Rapid sequence intubation
Blind digital intubation
Delayed sequence intubation
Nasal intubation
Advanced airway adjuncts
Bag valve mask ventilation
Needle cricothyrotomy