INROOM INTUBATION CHECKLIST FOR SUSPECTED COVID19 PATIENT RVH

IN-ROOM INTUBATION CHECKLIST FOR SUSPECTED COVID-19 PATIENT RVH ED/WARD PRE-INTUBATION LARYNGOSCOPE CHECK VL AS FIRST OPTION ETT, SYRINGE AND TIE BOUGIE/STYLET IGEL/LMA VENTILATOR CIRCUIT SETUP (PHOTO) CAPNOGRAPHY WORKING SUCTION WORKING INTUBATION PRE-02 VIA C-CIRCUIT AIM FOR 3 -5 MINS PREO 2 GIVE DRUGS AVOID BAGGING IF POSSIBLE PLAN A INTUBATE – VL FIRST PATIENT POSITION IV ACCESS CHECKED PLAN DRUG DOSES DON AS PER TRUST PPE POLICY ASSISTANT/2 ND INTUBATOR ROLE ALLOCATION PLAN B IGEL/LMA STOP- CAN YOU VENTILATE? IF YES, CONSIDER DISPOSABLE FIBRESCOPE AND EXCHANGE CATHETER PLAN D DECLARE CICV DECLARE FRONT OF NECK ACCESS SCALPEL, BOUGIE SIZE 6 ETT POST-INTUBATION SUCCESS INFLATE CUFF WITH 10 MLS AIR ATTACH IMMEDIATELY TO OXYLOG – TURN ON VENTILATION 100% O 2 – RECRUITMENT ON VENTILATOR IF NEEDED (INSPIRATORY HOLD) TRANSFER CHECK IV CANNULAE SEDATION / MUSCLE RELAXANT OPTIMISED CHECK GOOD TO GO FOR TRANSFER CHANGE TO ICU VENTILATOR STOP OXYLOG CLAMP TUBE TRANSFER FILTER AND CAPNOGRAPH TO THE VENT ATTACH INLINE SUCTION ATTACH VENTLATION UNCLAMP TUBE COMMENCE VENTILATION – CHECK SETTINGS FULL DEBRIEF COMPLETE HANDOVER DOFF AS PER TRUST PPE POLICY Drs C Kelly, D Mc. Alonan, C Curry BHSCT Thanks to @gas_craic @wilkinsonjonny March 2020

IN-ROOM INTUBATION CHECKLIST FOR SUSPECTED COVID-19 PATIENT ICU PRE-INTUBATION LARYNGOSCOPE CHECK VL AS FIRST OPTION ETT, SYRINGE AND TIE BOUGIE/STYLET IGEL/LMA VENTILATOR CIRCUIT SETUP CAPNOGRAPHY WORKING SUCTION WORKING INTUBATION PRE-02 VIA C-CIRCUIT AIM FOR 3 -5 MINS PREO 2 GIVE DRUGS POST-INTUBATION SUCCESS INFLATE CUFF WITH 10 MLS AIR ATTACH TO VENTILATOR COMMENCE VENTILATION ENSURE INLINE SUCTION AVOID BAGGING IF POSSIBLE PLAN A INTUBATE – VL FIRST TRANSFER FILTER AND ATTACH ICU CAPNOGRAPHY 100% O 2 – RECRUITMENT ON VENTILATOR IF NEEDED (INSPIRATORY HOLD) PATIENT POSITION IV ACCESS CHECKED PLAN DRUG DOSES DON AS PER TRUST PPE POLICY ASSISTANT/2 ND INTUBATOR ROLE ALLOCATION PLAN B IGEL/LMA STOP- CAN YOU VENTILATE? IF YES, CONSIDER DISPOSABLE FIBRESCOPE AND EXCHANGE CATHETER FULL DEBRIEF COMPLETE HANDOVER DOFF AS PER TRUST PPE POLICY PLAN D DECLARE CICV DECLARE FRONT OF NECK ACCESS SCALPEL, BOUGIE SIZE 6 ETT Drs C Kelly, D Mc. Alonan, C Curry BHSCT Thanks to @gas_craic @wilkinsonjonny March 2020