endotracheal Intubation check list
Pre-intubation checklist
- Evaluate the patient's ability to breathe
- Assess for signs of airway obstruction
- Check for adequacy of ventilation
- Ensure endotracheal tube is available in appropriate size
- Check laryngoscope for proper functioning
- Ensure stylet is properly inserted into the endotracheal tube
- Place a facemask over the patient's nose and mouth
- Administer oxygen at a high flow rate
- Monitor oxygen saturation levels
- Administer sedative medication as prescribed
- Administer paralytic medication if necessary
- Monitor patient's level of sedation and paralysis
- Elevate the patient's head with a pillow
- Extend the patient's neck to align the airway
- Ensure patient's body is properly aligned
- Draw up appropriate doses of medications
- Label and verify medications with another healthcare provider
- Ensure medications are easily accessible during the procedure
- Attach ECG leads for continuous cardiac monitoring
- Place a blood pressure cuff for regular blood pressure measurements
- Ensure pulse oximeter is properly attached and functioning
- Explain the procedure to the patient and/or their guardian
- Educate the patient and/or their guardian about potential risks and benefits
- Obtain signed consent form
- Communicate the plan for the procedure to all involved healthcare providers
- Ensure everyone is aware of their roles and responsibilities
- Address any questions or concerns
- Inspect the patient's mouth and throat for any abnormalities
- Assess for conditions that may affect intubation
- Document any findings
- Check that the laryngoscope light is working
- Ensure the suction device is functional
- Inspect the endotracheal tube for any defects
- Review the patient's medical history for any contraindications
- Consider potential complications and risks
- Consult with the healthcare team if unsure
- Refer to the patient's age, gender, and height for appropriate tube size
- Measure the tube against the patient's body
- Double-check the size with another healthcare provider
- Clean the bedside area with disinfectant
- Cover the area with a sterile drape
- Ensure all necessary sterile equipment is within reach
- Wear sterile gloves
- Use a surgical mask and eye protection
- Consider wearing a gown and cap if necessary
Laryngoscope preparation
- Inspect the laryngoscope light to ensure it is functioning properly.
- Check the battery to ensure it has enough power for use.
- Replace the battery if necessary.
- Choose the correct size of blade that is appropriate for the patient.
- Attach the blade securely to the laryngoscope handle.
- Check the batteries in the laryngoscope handle to ensure they have enough power.
- Replace the batteries if necessary.
- Turn on the laryngoscope light to check if it is working properly.
- Test the functionality of the laryngoscope by turning it on and off.
- Inspect the laryngoscope for any debris or residue from previous intubations.
- Clean the laryngoscope if any debris is found.
- Inspect the laryngoscope blade for cleanliness.
- Apply lubrication if necessary to ensure smooth movement.
- Ensure the laryngoscope blade is in the correct position and angle for intubation.
- Make adjustments if needed.
- Check the laryngoscope blade for any signs of damage or wear.
- Ensure the blade is sterile by cleaning or replacing if necessary.
- Inspect the laryngoscope handle for any structural defects or damage.
- Replace the handle if any defects are found.
- Verify that the laryngoscope is the appropriate size for the patient.
- Choose a different size if necessary.
Use in Manifestly