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Endotracheal Intubation Procedure intubation et intubation
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Intubation • In this patient receive endotracheal intubation and mechanical ventilation in emergency situation involving severe respiratory problems or patient is on general anaesthesia during surgery. • • In this endotracheal tube is inserted through mouth or nose • It is required when patient needs artificial airway from 10 - 14 days • In respiratory problems the oxygen levels in your blood may drop too low and carbon dioxide levels may rise too high. This may damage vital organs like brain and heart. • It's purpose is to • Maintain patient airway • Administer oxygen • Airway suctioning • Give Anaesthesia • To administer bronchiodilator drug • • • Types of Intubation • • • Orotracheal intubation is inserted through mouth • Less comfortable than nasotracheal tube get disturbed by tongue • Used in epistaxis and nasal obstruction • • • • Nasotracheal Intubation • • .Inserted through nose • .much comfortable than orotracheal intubation • .Should avoid in case of epistaxis • • Endotracheal tube are of two types • • • Cuffed • Cuffed is used in children above 8 years of age • Keep tube in balance position prevent G. I content to aspire into respiratory tract. • Uncuffed • It is used in below 8 years of age . In this age subglotic area is narrow and keep the tube in right position. • • • • Size of Endotracheal tube • • New born 2.5 mn to 4 mn • Infant 4 mm to 4.5 mm • Child below 10 years 5 mm to 7 mm • Child above 10 years 7mm to 8 mm • • Adult 8mm to 9.5 mm • Man 7mm to 9mm average 8 mm • Women 6.5 mm to 8.5mm average 7mm • • • Procedure • • Before intubation Or ventilation for surgical procedure an I V will be started • Doctor will give anaesthesia through I V • As the medication takes effect, oxygen mask will be placed over patient nose and mouth and doctor asks you to breathe deeply ensuring reserve of oxygen in patient system prior to procedure. • Mechanical Ventilation • First step called endotracheal intubation • • Once patient sleep doctor use laryngoscope to perform intubation • Laryngoscope consist of handle, light and dull blade helps guide endotracheal tube positioning • Doctor tilt patient head back slightly then insert laryngoscope through mouth of patient and down to throat taking special care to avoid contact with teeth. • • Gently use epiglottis using blade which is a flap of tissue protecting larynx • Once E. T tube is in the trachea doctor will inflate a small balloon surrounding the tube to make sure it remains snugly in place • • • • • • Doctor remove laryngoscope and tape to the corner of patient mouth to prevent it from being jostled out of position. • • And then listen breathe sounds on both sides of the chest. If the end of the tube is low, both lungs will not receive same amount of air • • In some cases x- ray is taken immediately after the intubation to confirm the tube, s placement • • Once Endotracheal tube is in proper position doctor attach mechanical ventilator a specially designed pump that aids respiration • • Level of oxygen and carbon dioxide will closely monitored to confirm that the ventilator is working • • Once the surgical procedure completes doctor will not remove Endotracheal tube until patient safely breathe on their own • • • • • #Intubation • #tracheal Intubation • endotracheal intubation • rapid sequence intubation • #endotracheal Intubation procedure • tracheal intubation ( medical process) • intubation video • intubation process • intubation procedure • intubation procedure video • et intubation • #DAS • #DAS algorithm • intubation risks • what is intubation • types of intubation • risks for intubation • intubation supplies • intubation explained • what is intubation for • intubation equipment • #Drug Education • • • • • • • • subscribe • • • • • • • • • • • • / @drugeducation7473
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