The level of alertness needed to maintain airway tone is the same required to maintain brisk protective reflexes to prevent aspiration of oral and gastric fluids. “A patient who can phonate clearly and answer questions appropriately demonstrates airway patency, adequate ventilation, vocal cord function, and cerebral perfusion with oxygenated blood. Is there an anticipated need for intubation (ie, what is the expected clinical course)? – Respirations and mental status of the patient.ĥ. – Clinical criteria for oxygenation and oxygen saturation (pulse oximetry). Is there an inability to protect the airway against aspiration (e.g. Is there a failure of airway maintenance?Ĭan the patient phonate clearly and answer questions appropriately?Ģ. Anticipation of a deteriorating course that will eventually lead to respiratory failureĥ questions that help you decide when to intubate a patientĪnswering “yes” to any of the following 5 questions signifies the need to intubate the need to intubate the patient.
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