From: Teaching tracheal intubation: Airtraq is superior to Macintosh laryngoscope
1. Prepare the laryngoscope, anti-bite block, sticky tapes and stethoscope | 10 |
For Macintosh laryngoscope, check the light, keep the light off during preparation, put a stylet in the tube and shape the tube For Airtraq laryngoscope, turn on the light, put the tube in the side channel | |
2. Efficient mask ventilation | 10 |
3. Proper extension of the atlantooccipital joint | 10 |
4. Proper insertion of laryngoscope | 10 |
Insert Macintosh laryngoscope from the right side of the mouth, move toward the midline | |
Insert Airtraq laryngoscope along the midline | |
5. Appropriate request for help to press cricoid or BURP (backward, upward, and right-sided pressure) | 10 |
6. Efficient glottis exposure, Cormack-Lehane Grade I or II | 10 |
7. Insert the tube into the trachea to an appropriate depth | 10 |
8. Inflate cuff of the tube to an appropriate pressure | 10 |
9. Auscultate both lungs to identify position of the tube, place anti-bite block, secure the tube with tapes | 10 |
10. Time of intubation less than 150 s, calculated from opening the mouth to the first appearance of normal wave capnography | 10 |
Inserted tube is too deep resulting in one-lung ventilation | -10 |
Failed intubation, i.e. tube not inserted into the tracheal within 150 s from opening the mouth or tube inserted into the oesophagus | -10 |