Forcep removal FBAO Flashcards
Personal protection
Wear disposable gloves, airway procedure requires face mask and possibly eye protection
Indications
An unconscious patient with
foreign body located in the
pharynx.
Contradictions
Any patient who has an effective
cough.
Any patient who is not
unconscious.
Cautions
Careless laryngoscopy can damage
tissues of the pharynx.
Prolonged laryngoscopy can
contribute to hypoxia.
Prepare equipment
Suction
Laryngoscope blade
Oxygen
Bag-valve-mask
Magill forceps
Prepare patient
Place the patient on their back
Consider 360 access
Visible foreign body
If a foreign body (FB) is visible in the
anterior portion of the
oropharynx, remove with Magill
forceps.
Laryngoscope use
Position the patients head with a head tilt/ chin lift
Insert laryngoscope in the right and sweep the tongue to the left
Assess airway
Assess the requirement for suction
Advance laryngoscope
Advance the blade to view the epiglottis
Insert forceps
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
Reoxygenate
Attempt to reoxygenate using BVM and oxygen
Reassess
Reassess the patient’s condition and ensure removal. Repeat procedure if the FBAO is not fully removed
Report
Accurately document/hand over
any relevant information regarding
the clinical skill