Intubation/RSI

General Indications

Physiology of Intubation

The Difficult Airway

From: Richard Pierce, MD

OpenPediatrics Quick Concept: Assessing the Pediatric Airway Prior to Intubation

Figure 1: Cormack Lehane Grading (above) and Mallampati Class (below)



ASA Difficult Airway Algorithm

Figure 2: ASA Difficult Airway Algorithm

Difficult Intubation Video

Video of Intubation of a Bloody Airway


Intubation Procedure

Equipment

Image from Irwin and Rippe's Intensive Care Medicine, 7th Edition

Figure 3: MacIntosh and Miller Blades proper positioning for endotracheal intubation


Glidescope Recommended Equipment

Medications

From: Richard Pierce, MD

Intubation

Figure 4: View of vocal cords with tube passing through

Extubation and Extubation Readiness: See Mechanical Ventilation


Airway Videos (AirwayCam): https://www.airwaycam.com/videos

References

1) G.H. Bledsoe, S.M. Schexnayder: Pediatric rapid sequence intubation: a review. Pediatr Emerg Care.20:339-344 2004 15123910

2) J.D. McAllister, K.A. Gnauck: Rapid sequence intubationof the pediatric patient. Fundamentals of practice. Pediatr Clin North Am. 46:1249-1284 1999 10629684