Question 2

An 120 kg man is undergoing emergency laparotomy for an obstructed bowel. A rapid sequence induction has been carried out and at initial laryngoscopy the epiglottis cannot be visualized.

What would be the appropriate immediate next steps in the management of this patient?

Select one option from the answers below.

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A. False. This is for routine induction of anaesthesia.

B. False. The ILMA is not suitable for a patient at risk of aspiration.

C. True. This is the initial tracheal intubation plan during rapid sequence induction.

D. False. This would only be done if surgery would be immediately life-saving.

E. False. This would only be performed in the ‘can’t intubate, can’t ventilate’ scenario.

Also:

Help must be called immediately
Cricoid pressure should be carefully reduced to see if view is improved
Oxygenation must be maintained
Ensure the patient is correctly positioned and use an alternative laryngoscope or GEB

Refer to resources to view the algorithms - Scenario 2 Plan C and Scenario 3 Plan D.

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