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'Basic Airway Equipment for Intubation' by Traci Wolbrink MD MPH for OPENPediatrics

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Basic Airway Equipment for Intubation, by Dr. Traci Wolbrink. Health care workers in all health care settings should always adhere to the latest World Health Organization guidelines on hand hygiene and barrier precautions before and after contact with a patient, bodily fluids, or patient surroundings. For more information, please watch our video entitled "Hand Hygiene." Hi, my name is Traci Wolbrink, and I'm a pediatric intensivist at Children's Hospital Boston. In this video, I'll be talking to you about the equipment and supplies that you'll need to get yourself ready to intubate a patient. Oxygen and Suction. So the first thing you'll want to make sure is that you have an oxygen source and a bag for your patient. So here, I have a selfinflating or selfrefilling, or Ambu bag, whatever you want to call it. And it's connected to my oxygen source which I'll turn on here. You also want to make sure that you have suction available and that you've turned it on. And you check to make sure that it's working. And I'll leave both of these near the top of my bed so that when we get ready to perform laryngoscopy, those are readily available. The next thing you want to make sure is that you have a mask that's an appropriate size for your patient. So you'll want to choose a mask that will cover around the nose and mouth, which is not too big in which you have a lot of leaking, either from around your eyes or your chin. Or that's too small in that it doesn't adequately cover your nose and mouth. So for this patient, this size mask is probably appropriate. You can see it covers the entire nose and mouth of the patient without going much beyond the chin or the eyes. If I were to get a mask that was too large for the patient, you would see that I'd have a difficult time creating a seal because if I make sure that it fits on the chin. There's going to be a lot of leaking near the eyes and vice versa. If I make it so that it fits near the eyes, there's a lot of leaking here around the chin. It's always better to go with a smaller mask rather than a larger mask. And with this very small mask, you can see, even though it's a bit on the small side, it still mostly covers the mouth and the nose. So if you have the choice, always go smaller rather than bigger. But this mask would be appropriate for this patient here, and I'm going to connect it to my bag.

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