Endotracheal intubation involves placing a flexible plastic tube into the trachea to maintain an open airway or administer drugs. It is used to administer oxygen, remove secretions, ventilate the lungs, and treat respiratory failure. Indications include CNS depression, neuromuscular disease, chest injuries, airway obstruction, and aspiration risk. The procedure requires a laryngoscope, ET tube, suction equipment, and securing the tube once placed to ventilate the lungs. Complications can include injury and intubation in the wrong airway.
5. ARTICLES REQUIREDARTICLES REQUIRED
Sand Bag /Towel roll
Suction apparatus with Tubing
Suction Catheter
Ambu bag and Mask
Oxygen source and Tubing
Laryngoscope with appropriate size blade
Magill’s Forceps
15. PROCEDUREPROCEDURE
Hold the laryngoscope with LEFT hand
irrespective of dominant hand
Open the mouth with right hand index finger
with support of thumb.
Introduce Laryngoscope from right angle of
mouth
Shift the tongue to left and go in.
Press over tongue.
See epiglottis and lift it.
Watch for vocal cord
18. Cont…Cont…
Take the tube in right hand
Introduce under vision
Confirm placement by
auscultation
If tube is cuffed inflate the cuff
19. Cont..Cont..
Connect the source to tube
Confirm the position of tube
a) by auscultation
b) by chest expansion
c) by bag movement
Fix the tube with adhesive.
23. POST PROCEDURE CAREPOST PROCEDURE CARE
Place the patient in lateral position
Arrange for chest X-ray in order to
check placement of ET Tube
Apply endotracheal suctioning as needed.
Watch for chest movements,ET Tube
kinking, obstruction,leakage of tube cuff
and over inflation of cuff
24. COMPLICATIONSCOMPLICATIONS
Tube in esophagus
Endo bronchial Intubation
Trauma to lips and tooth
Laryngeal and tracheal Injury
Baro trauma to lungs
Bleeding
Tracheities
Pulmonary infection and sepsis
Notas del editor
Miller Blade is straight – directly lifts the epiglottis to allow visualization of the vocal cords.
MacIntosh – blade is curved; inserted into the vallecula to indirectly lift the epiglottis.
Infants are always intubated with the Miller die to the floppy airway.