paramatt_ Posted January 30, 2017 Author Share Posted January 30, 2017 1 hour ago, Ruffmeister Paramedic said: IN the end, we were able to get the tube but not after some very very tense minutes. She never lost oxygenation but we paralized her and then had a very difficult time intubating her. Took about 10 minutes to fully secure the tube but all her numbers and color was what you would expect from oxygenating her well. This patient made the CRNA earn his on call pay. But I was sure we were going to code her. But someone was watching over her that night. She had no negative issues based on our intubation attempts except for some scratches on her soft palette. She should be about 15 years old now. That's probably one of the most horrible situations you can be in, especially with a pead. I suppose if her oxygenation deteriorated you would have been looking at a surgical airway.. It sounds like you guys did a great job nevertheless, and with a favorable outcome. Good chance for a side question..it is reasonably common to have poor airway control on seizing patient's, especially those with trismus, even if its just short term...anyone have any good airway management techniques in such situations? I'm a fan of high-flow nasal cannula with lateral positioning if possible. Quote Link to comment Share on other sites More sharing options...
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