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Topic: Intubation


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In the News (Tue 20 Aug 19)

  
  Endotracheal Intubation Information on MedicineNet.com
Endotracheal intubation is a procedure by which a tube is inserted through the mouth down into the trachea (the large airway from the mouth to the lungs).
The purpose of endotracheal intubation is to permit air to pass freely to and from the lungs in order to ventilate the lungs.
It is no wonder that this procedure should be performed by a physician with experience in intubation.
www.medicinenet.com /endotracheal_intubation/article.htm   (583 words)

  
  Intubation and Commencement of Mechanical Ventilation by Patrick Neligan
The inevitable outcome of intubation in the ICU is hypotension, by a variety of means.
Although the framework of the rapid sequence induction is essential for intubating patients in ICU, the execution is different as the anaesthetic agents are varied as appropriate.
Intubation and ventilation are merely one process in the ICU management of patients; they facilitate airway protection and ventilation.
www.4um.com /tutorial/icm/intubate.htm   (2043 words)

  
 Special Care Baby Unit
Intubation of trachea is used to provide ventilatory support to a critically ill infant and to support neonates with respiratory insufficiency (1).
I feel it is easier to intubate a normal baby than a manikin, and once you successful intubate an infant you will definitely gain confidence.
After fifteen years of experience in intubating, resuscitating and teaching this technique to doctors - I feel my method of teaching should be available to who ever is keen on learning and understanding this simple life saving technique.
meltingpot.fortunecity.com /grove/61/ett/default.htm   (1387 words)

  
  Remifentanil Prevents the Hemodynamic Response to Orotracheal Intubation
Laryngoscopy and tracheal intubation are associated with a pressor response and a rise in plasma concentrations of catecholamines.
Laryngoscopy and orotracheal intubation are associated with hemodynamic responses and a rise in plasma concentrations of catecholamines.
Exclusion criteria included a history of previous difficulty with intubation or a suspected difficult airway, esophageal reflux or hiatus hernia, cardiovascular disease, hepatic or renal failure, allergies to any of the study drugs, and administration of sedative or narcotic drugs in the previous 24 hours.
www.jrnlappliedresearch.com /articles/Vol1Iss2/Alexander.htm   (2176 words)

  
 Laryngeal Injury as a Result of Endotracheal Intubation(May 1999)
Difficult intubation may result in laceration to the mucosa of the oropharynx, hypopharynx, larynx, trachea or esophagus, with the pyriform sinus and region posterior to the cricopharyngeus muscle being the most at risk.
Physical trauma incurred during the act of intubation is usually the result of abnormal anatomy and difficult laryngoscopy, multiple intubations or lack of skill of the operator.
Intubation injury to the larynx is relatively common and all types of injury have been reported.
www.utmb.edu /otoref/Grnds/Laryn-injury-9905/Laryn-Injury-9905.htm   (4570 words)

  
 ICU-USA - Tour - Intubation
Intubation is a general term referring to the placement of a tube into a patient's body.
Endotracheal intubation is necessary when patients can no longer cough and clear secretions or breathe on their own.
Patients needing endotracheal intubation usually have a serious condition preventing them from breathing on their own.
www.icu-usa.com /tour/procedures/intubation.htm   (383 words)

  
 Combitube - Airway Device Difficult Airway Tutorials
Compared to intubation with an endotracheal tube under direct laryngoscopy or using the LMA, the Combitube seems to exert a more pronounced hemodynamic stress response (17,18).
Although it is possible to maintain an airway with the Combitube, endotracheal intubation is the preferred method for definitively securing the airway.
The Combitube is left in place and the proximal cuff is partially deflated for fiber-optic intubation with an endotracheal tube (19,24).
vam.anest.ufl.edu /airwaydevice/combitube/combitube.html   (1579 words)

  
 Pediatric Status Epilepticus And Intubation
Endotracheal intubation is often performed in the emergency department in patients with SE.
For intubated patients the indication for intubation, intubation medications, size of endotracheal tube, and number of attempts was collected.
Intubation is more likely to be successful on the first attempt when specific medications are given prior to the procedure.
www.ispub.com /ostia/index.php?xmlFilePath=journals/ijpn/vol4n2/epilepsy.xml   (1084 words)

  
 Evaluation of an electronic esophageal detector device (EEDD) in patients with morbid obesity and pulmonary failure
Of the remaining 99 tracheal intubations, the EDD correctly indicated tracheal placement in 98 (sensitivity, 99%) and was indeterminate in 1 case because of blockage of the ETT by secretions resulting from pulmonary edema.
Immediately after intubation in the emergency department, the endotracheal tube position was tested by the SIB and end-tidal carbon dioxide (ETCO2) monitor using an infrared carbon dioxide analyzer.
Overall sensitivity for tracheal intubation was 88% (95% confidence limits; range, 0.83 to 0.92), and specificity for tracheal intubation was 92% (95% confidence limits; range, 0.62 to 0.99).
www.wolfetory.com /education/confirming_proper_intubation.htm   (2010 words)

  
 BioMed Central | Full text | Morphine for elective endotracheal intubation in neonates: a randomized trial ...
Endotracheal intubation is a painful and stressful procedure, which is associated with acute increases in blood pressure and intracranial pressure, bradycardia and hypoxemia [1].
The level of experience of the intubator, birth weight and gestation were entered separately in a regression model, but none was a significant contributor to the variance of the results.
Endotracheal intubation is a stressful procedure, associated with physiologic instability [9-14].
www.biomedcentral.com /1471-2431/4/20   (3540 words)

  
 Burden Nasoscope Nasotracheal Intubation Medical Device For Endotracheal Tube Insertion
The Burden Nasoscope is a medical device that enables the professional to intubate the difficult airway in a rapid sequence.
The Burden Nasoscope functions as a stethoscope with the highly sensitive diaphragm amplifying turbulent airflow from the patient's respiration directing placement of the airway in the trachea, and not in the esophagus.
Intubation when there is cervical spine immobilization can be rapidly accomplished by combining a Burden Nasoscope with an endotracheal tube that is capable of anterior motion of its' distal aspect without movement of the patient's neck.
www.nasoscope.com   (388 words)

  
 Intubation of the Feline
The cat is more difficult to intubate than the dog for several reasons including a small oropharynx and susceptability to laryngospasm.
The degree of difficulty for feline intubation is similar to human babies and it is no coincidence that the cat is often used as a model for intubation of small children.
The primary materials and equipment required for efficient intubation of the feline include induction agent, laryngoscope, topical anesthetic, endotracheal tube, and gauze to secure the tube.
cvm.msu.edu /services/aneth/docs/cat-intu/index.htm   (1285 words)

  
 Nasal versus oral intubation for mechanical ventilation of newborn infants
The choice of the oral or nasal route for intubation is usually determined by an institution's customary practice, based on clinical experience regarding the perceived short and long term benefits and complications of one route compared with the other (Roberton 1992).
Endotracheal intubation may be attended by such complications as cardiorespiratory compromise during the procedure, tube malposition, tube blockage, traumatic injury to the nares or palate, glottis or trachea, lung or airway collapse, and infection (Spitzer 1982; McMillan 1986).
In one study (McMillan 1986), intubation via the nasal route was unsuccessful in six (13.3%) of 45 infants compared with 0 (0%) of 46 for intubation by the oral route (RR 13.28, 95% CI 0.77, 229.08).
www.nichd.nih.gov /cochrane/spence/spence.HTM   (2820 words)

  
 MedFriendly.com: Intubation
People usually undergo intubation when a tube is inserted through the mouth or nose to the windpipe.
Intubation is also done to allow fluid to pass into or out of a body opening.
Compare intubation to extubation, which is the removal of a tube from an opening, organ, or structure of the body.
www.medfriendly.com /intubation.html   (154 words)

  
 Intubation Systems
The Intubation Packs come with a specially designed and molded, autoclavable intubation speculum, a lidocaine applicator, an endotracheal tube guide wire, an incisor loop and a brief video tutorial of how to perform the intubations.
Though the BioLITE System was initially created for intubation, it remains a highly efficient small core fiber optic illumination system that can essentially be used in any application that requires intense illumination of a small space in a tortuous location.
The simple nature of this device in comparison to other intubation stands that pivot and hinge with the aid of numerous moving parts and hard to clean crevices significantly reduces the learning curve of achieving consistent, successful intubations which directly translates into increased productivity.
www.braintreesci.com /RodentWorkstand.htm   (1116 words)

  
 Intubation on Find Articles
During oral intubation, it is important to protect the top teeth from accidental trauma.
Intubation is used to maintain an open airway so patients can breathe.
Advances in emergency airway management have allowed intensivists to use intubation techniques that were once the province of anesthesiology and were...
calbears.findarticles.com /p/search?tb=art&qt=Intubation   (550 words)

  
 Prediction of a Difficult Intubation   (Site not responding. Last check: )
Despite increased use of noninvasive modes of ventilatory support and the recent introduction of newer, "intermediate" emergency airways, intubation of the trachea with a cuffed translaryngeal or transtracheal tube remains essential for continuous mechanical ventilation, effective secretion management, and bypassing upper airway pathology.
Intubation is widely taught in ALS, advanced trauma life support, pediatric ALS, neonatal ALS, obstetric ALS, fundamentals of critical care support, paramedic, and emergency medical technician-intubation training curricula.
Mounting experience with difficult tracheal intubation in the anesthesia setting argues for a more methodical approach to individuals with anatomic and medical problems that might complicate direct laryngoscopy.
www.rcjournal.com /contents/07.99/07.99.0777.asp   (343 words)

  
 Nasotracheal Intubation   (Site not responding. Last check: )
Nasotracheal intubation should also be considered when the oral route is difficult or impossible (eg, limited mouth opening secondary to scar contractures or temporomandibular joint dysfunction).
Nursing care of the mouth is simplified, communication with the intubated patient is easier since the lips and mouth are unencumbered by the tube and tape, and the tube cannot be occluded by an uncooperative patient who may bite down on an oral tube.
In the past, it was believed that the nasal approach to endotracheal intubation caused less movement of the cervical spine (critical in patients with suspected injuries of the cervical spine), but this advantage has not been substantiated in experimental or clinical studies.
www.rcjournal.com /contents/06.99/06.99.0643.asp   (293 words)

  
 Fiberoptic Intubation
Fiberoptic endotracheal intubation is a useful technique in a number of situations.
Fiberoptic intubation can be performed either awake or under general anesthesia and it can be performed either as the initial management of a patient known to have a difficult airway, or as a backup technique after direct laryngoscopy has been unsuccessful.
If the patient is to be nasally intubated, a small endotracheal tube (7 mm for a normal adult) should be used.
www.uam.es /departamentos/medicina/anesnet/gtoa/fiberoptic_Intubation.html   (1648 words)

  
 intubation
Proper positioning of the patient is = necessary.=20 Blind nasotracheal intubation is performed either in sitting position or = supine.=20 The axes of the mouth, pharynx and the larynx should be aligned by = placing the=20 patient in SNIFFING POSITION, and by placing a folded towel under = patients=20 occiput.
BLIND ORAL INTUBATION

When there is minimal visualization of laryngeal structures during = direct=20 laryngoscopy, a blind or a semiblind technique for the intubation of the = trachea=20 is attempted.

RETROGRADE INTUBATION

Retrograde intubation involves passage of a wire or a plastic stylet = through=20 the cricothyroid membrane which is then coughed out of the larynx and = into the=20 oropharynx by the patient.

list.ftech.net /pipermail/trauma-list/2001/010606.html   (3147 words)

  
 NGC - NGC Summary
This is the clinical scenario of difficult intubation in an adult patient after induction of general anaesthesia and muscle paralysis, usually with a non-depolarising neuromuscular blocking drug.
In one study, blind intubation was performed in 20 out of 23 patients with a 75% success rate at the first attempt (10% required two or three attempts and 5% required four attempts) and 100% overall success rate.
Whatever technique of tracheal intubation through a "dedicated airway" is used, the vocal cords should be open and non-reactive before attempting to advance the fibrescope or tracheal tube into the trachea.
www.guideline.gov /summary/summary.aspx?ss=15&doc_id=6183&nbr=3982   (5436 words)

  
 eMedicine - Tracheal Intubation - Rapid Sequence Intubation : Article Excerpt by Rick Kulkarni
The procedure should be performed in any of several common patient presentations, including, but not limited to, cardiac arrest, sepsis, airway obstruction, multiple trauma, closed head injury when the patient is having difficulty maintaining a patent airway, problems with ventilation or oxygenation, or an anticipated deterioration of the patient's condition.
Except for defibrillation in witnessed pulseless loss of consciousness, tracheal intubation is the first procedure performed on a critically ill patient with respiratory insufficiency or respiratory failure.
The key point in RSI is to not assist ventilation (eg, bag-valve-mask ventilation) of the patient for continued oxygenation after the administration of paralytic medications to avoid insufflation of the stomach, leading to regurgitation of stomach contents and possible aspiration.
www.emedicine.com /proc/byname/Tracheal-Intubation---Rapid-Sequence-Intubation.htm   (415 words)

  
 K9 Intubation Manual
INTUBATION Insert the endotracheal tube into the airway using Veterinary approved methods.
Your K-9 Intubation trainer is shipped ready to use with the Intubation feature connected.
Since many hands will be handling the K-9 Intubation trainer on a regular basis it is recommended that you periodically check for stains.
www.rescuecritters.com /K9intM.html   (420 words)

  
 Orotracheal Intubation - Medical Procedures - Medstudents
When intubating a patient, there are certain bare essentials that must be present to ensure a safe intubation.
Follow the steps outlined for curved blade technique, but advance the blade down the hypopharynx, and lift the epiglottis with the tip of the blade to expose the vocal cords.
Listen to each side of the chest, be sure that breath sounds are equal in both sides of the thorax.
www.medstudents.com.br /proced/proced5/intubat.htm   (1104 words)

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