Awake Intubation

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Awake Intubation : 

Awake Intubation Directed By: Behdad Bazargani M.D. Anesthesiologist Ali Shah Abbasi M.D. Anesthesiologist

Indications : 

Indications Respiratory failure Decrease LOC Difficult airway

Respiratory failure… : 

Respiratory failure… Status Asthmaticus Status Epilepticus Pulmonary Edema Chest wall injuries Etc

GCS : 

GCS Motor: Category score Obeys 6 Localizes 5 Withdraws 4 Flexion 3 Extension 2 None 1

GCS : 

GCS Verbal response: Category score Oriented 5 Confused 4 Inappropriate words 3 Incomprehensible sounds 2 None 1

GCS : 

GCS Eye opening: Category score Spontaneously 4 To speech 3 To pain 2 None 1

Slide 7: 

GCS =or< 8 Intubation

Equipments : 

Equipments Drugs Ventilator Laryngoscope Tubes Oxygen source Bag & Mask Suction Lubricant Forceps (Magill) Adhesive tape Stylette Syringe

Drugs : 

Drugs A- Neuromuscular blocking drugs (NMBDs): 1- Depolarizing NMBDs- Succinylcholine (1 – 1.5 mg/Kg IV) 2- Non Depolarizing NMBDs- Vecuronium (0.25 mg/Kg IV) Cis-atracurium (0.2 mg/Kg IV) All patients requiring airway management are probably at risk for aspiration of gastric contents (Sellick maneuver).

Drugs… : 

Drugs… B- Sedative-hypnotics: Sodium Thiopental Propofol C- Benzodiazepines: Midazolam (0.5 – 1 mg IV) Diazepam (2 mg IV) D- Opioids: Morphine, Fentanyl, Remifentanil

Drugs… : 

Drugs… E- Beta-adrenergic blocking drugs: Esmolol (10 – 20 mg IV) F- Local anesthetics agents: Lidocaine ( 1 – 1.5 mg/Kg IV or aerosol anesthetic sprays) G- Nerve blocks…

Then… : 

Then… Ask for Ventilator

Slide 13: 

Thank You