BEFORE INDUCTION PreInduction Assessment Prepare Airway Equipment Check Ventilator Working Laryngoscope VL if available ET Tubes Syringe Stylet TieTape Adjuncts eg Bougie LMA Oral airway ID: 932766
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COVID-19 AIRWAY MANAGEMENT Checklist
BEFORE INDUCTION
Pre-Induction AssessmentPrepare Airway EquipmentCheck VentilatorWorking Laryngoscope (VL if available)ET Tubes, Syringe, Stylet, Tie/TapeAdjuncts e.g. Bougie, LMA, Oral airwayWorking Suction + Suction CatheterBreathing Circuit + Viral filter + Facemask Prepare Drugs Induction Agent NM Blockade (+ Reversal +/- Stimulator)Emergency drugs e.g. Atropine, Adrenaline (or norepinephrine)Analgesics / AntiemeticsOther drugs as relevant Additional Items Ensure working IV Cannulas, Fluids (+ Pumps If available)e.g. Pen/documents, Dedicated waste bag
DURING AIRWAY MANAGEMENT
Induction Team BriefingConfirm team rolesDiscuss & confirm need for intubationIntubation PlanPlan A: RSI or Modified RSIPlan B/C: Mask ventilation or LMA Plan D: Rescue – Fiberoptic or other rescue technique Team members apply PPEGown, Hat, Eye Protection, N95/FFP mask or equivalent, gloves (intubating provider double glove for airway management)Non-essential personnel leave
Essential personnel onlyApply patient monitoringOptimise patient positionOptimise patient conditionTeam confirm planPre-oxygenate >3 mins, low flowsEnsure most experienced provider intubatingProceed with RSI / Modified RSIMinimise Aerosolization Avoid manual bag mask ventilation during apnoeic period unless hypoxiaInflate cuff before ventilatingSecure tube & all connectionsAvoid unnecessary disconnectionsConfirm ETT placement with capnography (if available) or resource appropriate methodsEnsure patient condition stableNo entry to patient room without PPE until designated time post-extubation (according to room’s ventilation)Remove PPE in designated area
Ensure patient condition stableNo non-essential personnel in room Perform suction prior to extubationAvoid excessive or over-suctioningConsider in-line suction if available Consider aerosol barrierExtubate when indicated Minimize coughing at extubation Apply oxygen mask or facemask when extubatedNo entry to patient room without PPE until designated time post-extubation (according to room’s ventilation)Remove PPE in designated area
PREPARE
PLAN
INTUBATION
EXTUBATION
Facemask2-Person2-HandedAdjunctsLow FlowLow Pressure
LMA / Supraglottic Airway (2nd generation if available)