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Pre-Oxygenation for the Critically Ill

NEXTGEN LEARNING DESIGNED TO ELEVATE YOUR AIRWAY PRACTICE

Introduction

optimize & escalate

AUDIO INTRO – COMING SOON

Pre-oxygenation of your patient is its own procedure with a distinct bundle of concepts and skills required to be successful. The goal is to improve safe apnea time. In this space, we focus on optimizing the initial pre-ox and then discuss how to escalate your approach for a patient with refractory hypoxia.

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Rapid ReviewRule of 15s
Delayed SequenceGuided Practice
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Rapid Review

optimize your initial pre-ox strategy

Memory Aid Pearl: The Triple 15 Rule for preoxygenation – an easy way to remember how to maximize oxygen delivery during the pre-intubation phase

  • 15 L O2 by nasal cannula +
  • 15 L O2 by non-rebreather & if oxygen saturation <100% then replace NRB with
  • 15 cm H2O of CPAP while maintaining nasal cannula

Critically ill patients can remain refractory to your initial efforts at pre-oxygenation. When this happens you need a strategy. Let us give you ours in under 44 seconds.

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