(Adapted from an evidence-based guideline created using the National Prehospital Evidence-Based Guideline Model Process)
Aliases
Asthma, upper airway obstruction, respiratory distress, respiratory failure, hypoxemia, hypoxia, hypoventilation, foreign body aspiration, croup, stridor, tracheitis, epiglottitis
Patient Care Goals
- Provide effective oxygenation and ventilation
- Recognize and alleviate respiratory distress
- Provide necessary interventions quickly and safely to patients with the need for respiratory support
- Identify a potentially difficulty airway in a timely fashion
Patient Presentation
Inclusion Criteria
- Children and adults with signs of severe respiratory distress/respiratory failure
- Patients with evidence of hypoxemia or hypoventilation
Exclusion Criteria
- Patients with tracheostomies
- Chronically ventilated patients
- Newborn patients
- Patients in whom oxygenation and ventilation is adequate with supplemental oxygen alone, via simple nasal cannula or face mask
Patient Management
Assessment
- History – Assess for:
- Time of onset of symptoms
- Associated symptoms
- History of asthma or other breathing disorders
- Choking or other evidence of upper airway obstruction
- History of trauma
- Physical Examination – Assess for:
- Shortness of breath
- Abnormal respiratory rate and/or effort
- Use of accessory muscles
- Quality of air exchange, including depth and equality of breath sounds
- Wheezing, rhonchi, rales, or stridor
- Cough
- Abnormal color (cyanosis or pallor)
- Abnormal mental status
- Evidence of hypoxemia
- Signs of a difficult airway (short jaw or limited jaw thrust, small thyromental space, upper airway obstruction, large tongue, obesity, large tonsils, large neck, craniofacial abnormalities, excessive facial hair)
Treatment and Interventions
- Non-invasive ventilation techniques
- Maintain airway and administer oxygen as appropriate with a target of achieving 94-98% saturation
- For severe respiratory distress or impending respiratory failure, use continuous positive airway pressure (CPAP)
- Bronchospasm (COPD/Asthma) – PEEP Max of 5 cm H2O
- Edema (CHF/Pneumonia) – PEEP Max of 10 cm H2O
- Use bag-valve mask (BVM) ventilation in the setting of respiratory failure or arrest. Two-person, two-thumbs-up BVM ventilation is more effective than one-person technique and should be used when additional providers are available
- Infants < 1 years old – Use Infant BVM. Squeeze BVM until Chest Rise
- Patients > 1 years old – Use Pediatric BVM. Squeeze BVM until Chest Rise
- Adult BVM may be an acceptable alternative if Pediatric BVM not available or not functioning for patient.
- If patient’s pathophysiology requires PEEP, may use BVM with PEEP valve
- Requires continuous facial with two hands on mask or EGD/ETT
- PEEP Ranges:
- During Cardiac Arrest: 0 cm H2O
- Post ROSC: 0 – 5 cm H2O
- Bronchospasm: 0 – 5 cm H2O
- Pulmonary Edema/Pneumonia/Aspiration: 5 – 20 cm H2O
- Monitor for Tension Pneumothorax and/or Hypotension from impaired preload
- Remove PEEP Valve if hypotension develops
- Oropharyngeal airways (OPA) and nasopharyngeal airways (NPA) – Consider the addition of an OPA and/or NPA to make BVM ventilation more effective, especially in patients with altered mental status
- It is acceptable to use more than one adjunct at a time
- Preoxygenation/Apneic Oxygenation – Consider using a nasal cannula with oxygen at 10 – 15 LPM prior to and during EGD/ETT placement.
- Goal: 94 – 98% Saturation before/during advanced airway placement
- May combine with BVM with PEEP valve to reverse hypoxia prior to advanced airway placement
- Extraglottic devices (EGD) – Consider the use of an EGD if BVM is not effective in maintaining oxygenation and/or ventilatio
- If no gag reflex present, BLS providers may place these.
- This is especially important in children since endotracheal intubation is an infrequently performed skill in this age group and has not been shown to improve outcomes
- Endotracheal intubation
- When less-invasive methods (BVM, EGD placement) are ineffective, use endotracheal intubation to maintain oxygenation and/or ventilation
- Other indications may include potential airway obstructions, severe burns, multiple traumatic injuries, altered mental status or loss of normal protective airway reflexes
- Monitor clinical signs, pulse oximetry, cardiac rhythm, blood pressure, and capnography for the intubated patient
- The Bougie/Endotracheal Tube Introducer should be used on ALL INTUBATION ATTEMPTS, especially when video laryngoscopy is unavailable and glottic opening is difficult to visualize with direct laryngoscope
- Medication-Assisted Advanced Airway Placement – EGD or ETT
- The paramedic must choose the most appropriate sedative prior to advanced airway placement based on the patient’s history, physical exam, and pathophysiology
- Attempt to correct hypotension and hypoxia before sedation [See Shock guideline]
- Ketamine – 1 mg/kg slow IVP/IO
- Etomidate – 0.3 mg/kg slow IVP/IO
- If additional medications required, contact direct medical oversight
- Ventilation
- Tidal volume
- Ventilate with minimal volume to initiate chest rise, approximately 6-7 mL/kg ideal body weight
- Over-inflation may be detrimental
- Rate
- Adult: 10-12 breaths/minute
- Child: 20 breaths/minute
- Infant: 30 breaths/minute
- Titrate PEEP as mentioned above
- Ventilate with minimal volume to initiate chest rise, approximately 6-7 mL/kg ideal body weight
- Tidal volume
- Post-advanced airway management
- Confirm placement of advanced airway (EGD or endotracheal tube) with waveform capnography, absent gastric sounds, and bilateral breath sounds
- Continuously monitor placement with waveform capnography during treatment and transport
- Maintain ETCO2 of 35-40 mmHg – in head injury with signs of herniation (unilateral dilated pupil or decerebrate posturing), modestly hyperventilate to ETCO2 30 mmHg
- Continuously secure tube manually until tube secured with tape, twill, or commercial device
- Note measurement of tube at incisors or gum line and monitor frequently for tube movement/displacement
- Cervical collar and/or cervical immobilization device may help reduce neck movement and risk of tube displacement
- Inflate endotracheal tube cuff with minimum air to seal airway
- Post-Airway Placement Analgesia/Sedation
- Fentanyl 1 mcg/kg slow IVP, max single dose of 100 mcg, every 5 mins if RASS +4 to -1
- When patients cannot be oxygenated/ventilated effectively by previously mentioned interventions, the provider should consider cricothyrotomy if the risk of death for not escalating airway management seems to outweigh the risk of a procedural complication
- Transport to the closest appropriate hospital for airway stabilization when respiratory failure cannot be successfully managed in the prehospital setting
- Ensure that the ED physician visualizes waveform capnography prior to patient transfer if EGD or ETT in place.