Failed Intubation Attempts

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Keith, the ASA guidelines and definitions are attached.Kovacs and Law in
their text Airway Management in Emergencies (
http://books.google.co.in/books?id=8DVZt63PRLgC&pg=PA204&lpg=PA204&dq=failed+intubation+definition&source=bl&ots=tM1J18SAXA&sig=zkirx3ZjV6wWwlSv0fBIiR_EC5g&hl=en&ei=5cHHSdjNApSM6gOx7KXBBw&sa=X&oi=book_result&resnum=3&ct=result)<http://books.google.co.in/books?id=8DVZt63PRLgC&pg=PA204&lpg=PA204&dq=failed+intubation+definition&source=bl&ots=tM1J18SAXA&sig=zkirx3ZjV6wWwlSv0fBIiR_EC5g&hl=en&ei=5cHHSdjNApSM6gOx7KXBBw&sa=X&oi=book_result&resnum=3&ct=result>
mention
three attempts as the definition of failed intubation.rangraj

On Mon, Mar 23, 2009 at 9:49 PM, Keith Lamb <lambrrt at gmail.com> wrote:

> 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
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
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>



-- 
Lt Col Rangraj Setlur
Classified Specialist-Anaesthesia and Critical Care
India
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