2. what is endotracheal intubation?
what are the indications of intubation?
equipment required for intubation
technique of intubation
confirmation of intubation
ventilation
complications
extubation
2
4. To secure airway
to supply oxygen
general Anesthesia
Cardio pulmonary resucitation
ventilatory therapy in ICU
4
5. size of tube
1) 0-1 yrs. 2.5 to 3.5 mm ( plain )
2) 1-3 yrs. 4. to 5 mm
3) 4-6 yrs. 5 to 6 mm
4) 6-10 yrs. 6 to 7 mm ( cuffed )
5) adult female. 7 to 8 mm
6) adult male. 8 to 9 mm
laryngoscope
magill's forceps
Stethoscope
syringe
source for ventilation
suction
5
14. hold the laryngoscpoe with LEFT hand
irrespective of dominant hand
open the mouth with right hand index finger with
support of thumb
introduce Laryngoscpoe from right angle of
mouth
shift the tongue to left
go in
press over tongue
see epigllotis
lift ît
watch for voccal cords
14
16. take the tube in right hand
introduce under vision
confirm placement by auscultation
if tube is cuffed inflate the cuff with syringe
16
17. connect the source to tube
confirmation
a) by auscultation
b) by chest expansion
c) by bag movement
d) end tidal CO2
fix the tube with adhesive
17
19. - Tachycardia
- rise in blood pressure
- Increase in secretions
- Laryngospasm
- bronchospasm
19
20. tube in oesophagous
endobrocheal intubation
trauma to lips tooth
Bleeding
Leak
Trachities
Cough
sore throat
barotrauma to Lungs
20
21. increase in supply of O2
to give general anesthesia
improove exhalation of C02
21
22. It is advisable if the cause is treated
throat suction
Laryngoscopy
Reflexes
Spo2
adequate respiration
level of consciousness
extubate
22
23. if mouth opening restricted
anterior vocal cords
burn contracture
one may require other options like
fibro optic intubatioñ
awake intubation
retrogate intubation
supra epiglotic device
23