Anatomy (bones/cartilage/ligament) in order when introducing ETT
1 - Mandible
2 - Hyoid Bone
3 - Thyroid Cartilage
4 - Cricothyroid Ligament
5 - Cricoid Cartilage
6 - Tracheal Rings
Visualizing structures during ETT in order
1 - tongue
2 - uvula/oropharynx
3 - epiglottis
4 - vallecula
5 - vocal cords (glottic opening)
6 - arytenoid cartilages
7 - trachea
STOP IC BARS
Suction
Tubes
Oxygen + PPV
Pharmacology
IV
Connect (Telemetry - Monitor, etCO2)
Blade
Alternative
Rescue (iGel)
Surgical
Mallampati Class I - IV visible structures
Class I - soft palate, uvula, fauces, pillars
II - soft palate, fauces
III - soft palate, base of uvula
IV - hard palate only
LEMON
Look Externally
Evaluate 2-2-3-1
Mallampati
Obstruction/Obesity
Neck Mobility
3-3-2-1
3 mouth opening
3 thyromental distance (“room to displace tongue”)
2 hyoid bone - thyroid arch
1 jaw protrusion
BOOTS
Difficult BVM
Beard
Obesity/Obstruction
Old
Toothless
Sounds
MOODS
Difficult Extraglottic
Mouth Opening
Obstruction
Displacement, Distortion
Stiff lungs
DART
Difficult Cricothyrotomy
Distortion
Access
Radiation
Tumor