UNCONTROLLED WHEN PRINTED
Indications
  • Rectify a failed endotracheal intubation attempt while maintaining adequate patient oxygenation.
Contraindications
Contraindications
Patient Factors & Considerations
  • Nil
Procedure

In the event of an unsuccessful ETT attempt:

  • Insert OPA and ventilate with 100% oxygen for at least 1 minute. Monitor SpO2.
  • The most experienced, current or appropriate officer MUST be undertaking the intubation
  • Re-attempt intubation ONLY if it is absolutely necessary. Change at least one thing e.g. position/operator/stylet/bougie etc. to optimise successful pass.
  • Try to confirm tracheal placement:


    • CONFIRMED:
      • Continue management in accordance with relevant CPG (end of failed intubation drill).

    • UNABLE TO CONFIRM:
      • Immediately remove ETT; insert OPA/NPA and ventilate
      • Determine if able to ventilate oxygenate:


        • NO:
          • Surgical cricothyrotomy (end of failed intubation drill).

        • YES:
          • Consider use of a supraglottic device OR whether manual airway control with BVM/OPA is adequate
          • Continue management in accordance with relevant CPG (end of failed intubation drill).
Success
Success
Discontinue
Discontinue
Additional Information
Additional information

References
References

Colour assist:

Document Control


Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Published Date

Review Date

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