Intubation – Adult and Peds
From Guide to YKHC Medical Practices
- All intubated patients should be medevac’d to ANMC for ICU management. We do not have an ICU in Bethel and we do not have the resources to keep these patients.
Rarely, a patient has resolution of the problem indicating intubation (e.g., acute intoxication) and extubation can be considered in low-risk situations.
Resources/References
- Intubation (Adult and Pediatrics) (YKHC Clinical Guideline)
- ET CO2 Monitoring in Ventilated Pediatric Patients (YKHC Clinical Guideline)
- Respiratory Failure in Children: Stabilization and Management Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)
- Kabrhel et al. Orotracheal Intubation. N Engl J Med 2007; 356:e15. DOI: 10.1056/NEJMvcm063574 (video)
- Lighthall et al. Laryngeal Mask Airway in Medical Emergencies. N Engl J Med 2013; 369:e26. DOI: 10.1056/NEJMvcm0909669 (video)
- Hsiao, J. and Pacheco-Fowler, V. Cricothyroidotomy. N Engl J Med 2008; 358:e25. DOI: 10.1056/NEJMvcm0706755 (video)
- Nickson, Chris. Difficult Airway Algorithms. Life in the Fastlane (LITFL), 2020.
- Airway Evaluation and Oral Pathology 2019 (PowerPoint Presentation)
