Failed Intubation Attempts

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Is there a universally recognized guideline of what constitutes a "failed
intubation"? There seem to be many opinions. I have heard a couple recently,
and am interested in your opinions.

Example:

1) introduction of the laryngoscope without placement of ET = failed
attempt.

2) 3 introductions of scope without placement of ET OR disrythmias/profound
desaturations during attempt etc etc. = failed attempt.

It seems intuitive that any attempt at placing ET without success is a
failure. However you can see that opinions vary and for QUALITY ASSURANCE
purposes I am looking for a specific definition, as to what constitutes a
failed "attempt", when should the intubator move to another adjunct
approach, and when should another intubator take over and attempt
intubation.

Thanks,

Keith


-- 
Keith D. Lamb, RRT
Newark, Delaware
USA

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