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Procedure Note: Intubation
Intubation Time
Now
Timeout
emergent
protocol/checklist
Indication
airway protection
resp failure
Consent
verbal
emergent
patient
family
Assessment
last oral intake noted
Mallampati 1
Mallampati 2
Mallampati 3
Mallampati 4
prior anesthesia history
Preparation
position/monitor
equipment
Medications
ketamine
etomidate
propofol (pre)
succinylcholine
rocuronium
propofol (post)
fentanyl (post)
Technique
video hyperangulated
video geometric
direct laryngoscopy
bougie
7.0 Fr ETT
7.5 Fr ETT
8.0 Fr ETT
Attempts
1
2
3
Multiple attempts
Confirmation of Tube
ETCO2 waveform
direct visualization
color change
breath sounds
chest Xray
Complications
none, O2 over 90%, SBP over 90
hypoxia, less than 90%
hypotension, SBP less than 90
Provider
Copy to Clipboard
Clear
Macros
Video 7.5