Failed Intubation Drill (Adult)
 
Unsuccessful Intubation
During: Un-Assisted Intubation / IFS / RSI
Unable to see vocal cords during initial laryngoscopy
       
Insert OP Airway and ventilate with 100% O2
       
Reattempt intubation using bougie with blind placement of ETT over bougie
       
Is there objective confirmation of tracheal placement using EtCO2?
  No       Yes
Immediately remove ETT, insert OPA/NPA and ventilate with 100% O2
   
Continue Management in accordance with relevant CPG
  No        
Able to ventilate and oxygenate?
  No       Yes
Insert LMA
       
           
Able to ventilate and oxygenate?
   
If sedation /relaxant drugs administered allow these to wear off and Pt to resume normal respiration
Yes  
  No        
Only if specifically accredited in this skill