Rich Levitan's Airway Tips ========================== þ Summary: - Preoxygenation: + Fill the lungs with oxygen: longer apnea time without desaturation + Fill the nasopharynx with oxygen: "" + Use nasal cannula at 15 LPM as well as facemask + Keep nasal cannula on during intubation + Bag adults with a pedi bag or only a single hand and low pressure - Intubation: + direct visualization: hockey stick best in practice: - stylet goes to distal end of cuff - 35 degree bend (no more, no less) at proximal end of cuff - get far over to the R, lever up using teeth as fulctrum once near the cords + Video laryngoscopy with Hyperacute scopes: get best view then back up a bit to get better angle for inserting tube + If hitting bronchial cartilage rings and can't advance, twist tube to R a bit + If using Gum Elastic Bougie, and unable to pass into cords, twist tube to L a bit + If storing Gum Elastic Bougie, do not roll up, fold in middle instead so at least intubating portion is straight