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. See Travis Nelson's presentation below.
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)
- Extubation in the ED 2022 (PowerPoint Presentation)
