Table 1 shows a simplified version of all the previously described algorithms.
Further laryngoscopy attempts may use different laryngoscopes and simple aids such as a GEB.
Maintenance of oxygenation is the over-riding priority at all times.
Action after initial failed attempt to intubate
|
Can’t intubate: Elective case |
Can’t intubate: Emergency case |
Can’t intubate: Can’t ventilate |
|---|---|---|
|
4 (maximum) intubation attempts |
2 (maximum) intubation attempts |
2 (maximum) further intubation attempts |
|
Call for help |
Call for help |
Call for help |
|
Maintain oxygenation by FM or LMA |
Maintain oxygenation by FM or LMA |
Attempt oxygenation by FM or LMA |
|
Secondary attempt using additional equipment (ILMA etc.) |
Wake patient up unless surgery immediately life-saving |
Cricothyroidotomy and high or low pressure ventilation |
Table 1 Summary of algorithms for scenarios 1,2 and 3