Forcep removal FBAO

Question 1

Personal protection

Answer 1

Wear disposable gloves, airway procedure requires face mask and possibly eye protection

Question 2

Indications

Answer 2

An unconscious patient with
foreign body located in the
pharynx.

Question 3

Contradictions

Answer 3

Any patient who has an effective
cough.
Any patient who is not
unconscious.

Question 4

Cautions

Answer 4

Careless laryngoscopy can damage
tissues of the pharynx.
Prolonged laryngoscopy can
contribute to hypoxia.

Question 5

Prepare equipment

Answer 5

Suction
Laryngoscope blade
Oxygen
Bag-valve-mask
Magill forceps

Question 6

Prepare patient

Answer 6

Place the patient on their back
Consider 360 access

Question 7

Visible foreign body

Answer 7

If a foreign body (FB) is visible in the
anterior portion of the
oropharynx, remove with Magill
forceps.

Question 8

Laryngoscope use

Answer 8

Position the patients head with a head tilt/ chin lift

Insert laryngoscope in the right and sweep the tongue to the left

Question 9

Assess airway

Answer 9

Assess the requirement for suction

Question 10

Advance laryngoscope

Answer 10

Advance the blade to view the epiglottis

Question 11

Insert forceps

Answer 11

Grasp magills forceps in the right hand
Insert forceps along the laryngoscope until 1-2cm from FBAO
Carefully remove the object along the laryngoscope blade

Question 12

Reoxygenate

Answer 12

Attempt to reoxygenate using BVM and oxygen

Question 13

Reassess

Answer 13

Reassess the patient’s condition and ensure removal. Repeat procedure if the FBAO is not fully removed

Question 14

Report

Answer 14

Accurately document/hand over
any relevant information regarding
the clinical skill