Clinical-use limit: Educational resource and cognitive-aid guide only; not a bedside order set or substitute for local protocol, medical direction, or clinical judgment.
Case management cards Tap each card to reveal the focused answer. The four cards match the airway workflow: before, during, after, and pitfalls.
Before intubation Preparation, physiology, positioning, equipment, and Plan B. Tap to reveal Before intubation Identify fresh vs mature trach and laryngectomy vs tracheostomy. Call ENT/anesthesia/RT early and gather same-size/smaller trach, suction, BVM adapters, and oral airway equipment if upper airway exists. Assess obstruction, displacement, bleeding, and oxygenation route. During intubation Execution priorities during the attempt. Tap to reveal During intubation Oxygenate via the route that works: trach/stoma, mouth/nose if upper airway exists, or both if uncertain. Suction and remove inner cannula if appropriate. For mature trach displacement, replace with same/smaller device if trained and appropriate; fresh trach displacement is high risk. After intubation Post-tube reassessment, ventilation, sedation, and handoff. Tap to reveal After intubation Secure device, confirm EtCO₂, reassess bleeding/obstruction, and document anatomy. Escalate sentinel bleeding urgently. Communicate laryngectomy status prominently. Common pitfalls Predictable traps to avoid. Tap to reveal Common pitfalls Bagging mouth/nose in a laryngectomy patient. Blindly replacing a fresh trach. Missing sentinel bleed warning signs.