Miscellaneous

What is ramp position for intubation?

What is ramp position for intubation?

Obesity is associated with a 30% greater chance of difficult/failed intubation, but placing obese patents in the “ramped position” (i.e. elevating the patient’s upper body and head until the external auditory meatus and the sternal notch are in the same horizontal plane) significantly lowers the incidence of difficult …

What is a ramped position?

In the ramp position, the patient’s head and torso are elevated such that the external auditory meatus and the sternal notch are horizontally aligned (black line).

What is the ideal position to place a patient’s head when ventilating?

Unlike the sniffing position, the head is not extended, but left in such a position that the face is parallel to the surface on which the patient lies. Achieving the head-elevated position often involves using padding under the head as well as the upper shoulders.

What is a ramped position for bariatric patient?

In obese patients, it is recommended to put the patient in the ramped position (back-up position with the tragus of the ear is at the level of the suprasternal notch) in addition to the sniffing head-and-neck position.

Can intubated patients sit up?

While they may be able to sit up in bed or in a chair, their mobility is otherwise limited. The medical team that closely monitors patients on a ventilator includes: doctors, nurses, respiratory therapists, X-ray technicians, and more.

What is the BURP technique intubation?

As we know, backward, upward, rightward pressure (BURP) maneuver is a useful skill to facilitate glottis visualization for tracheal intubation.

How do you do the BURP maneuver?

Applying backward, upward, rightward, and posterior pressure on the larynx (i.e., displacement of the larynx in the backward and upward directions with rightward pressure on the thyroid cartilage) is called the “BURP” maneuver and has been well described by Knill.