Table of Contents
What are the complications of intubation?
Potential side effects of intubation include:
- damage to the vocal cords.
- bleeding.
- infection.
- tearing or puncturing of tissue in the chest cavity that can lead to lung collapse.
- injury to throat or trachea.
- damage to dental work or injury to teeth.
- fluid buildup.
- aspiration.
What is the 3 3 2 rule for intubation?
(A) More than 3 fingers between the open incisors, indicating patient’s mouth opens adequately to permit the laryngoscope to reach the airway; (B) more than 3 fingers along from mentum to hyoid bone, which indicates enough space for intubation; (C)
What happens if you intubate too far?
If inserted too far, an endotracheal tube (ET tube) can enter the right or left main bronchus. This results in ventilation of a single lung and can result in collapse of the contralateral lung or a lobe of the intubated lung.
What is retrograde intubation?
Retrograde intubation (RI) is a well-described technique that involves several methods of translaryngeal guided nonsurgical airway access to assist in endotracheal or nasotracheal intubation.
What must you assess before intubation?
Assessing potential difficulties for bag-valve-mask ventilation and laryngoscopy should be completed before any attempt at intubation. Factors that increase the risk of a difficult bag-valve-mask ventilation include facial hair, obesity, being edentulous, advanced age, and history of snoring.
Which of the following is the most common complication of endotracheal intubation?
Laryngeal injury is the most common complication associated with ETT placement. It encompasses several disorders including laryngeal inflammation and edema as well as vocal cord ulceration, granulomas, paralysis, and laryngotracheal stenosis.
What condition might occur if an endotracheal tube ET is incorrectly placed?
Unsuccessful or poorly conducted endotracheal intubation can be life-threatening. It may result in significant complications, such as esophageal intubation, hypoxemia or post-induction cardiac arrest [3, 4, 5].
What is fiberoptic intubation?
Fiberoptic intubation (FOI) is an effective technique for establishing airway access in patients with both anticipated and unanticipated difficult airways. First described in the late 1960s, this approach can facilitate airway management in a variety of clinical scenarios given proper patient preparation and technique.
Why is the endotracheal tube not a preferred route of medication administration?
Although cited for reference, routine administration of drugs via an ET tube is discouraged. Rapid access and drug delivery through an IO are preferred to ET administration as drug absorption from the ET tube route is unpredictable.
How do you BURP intubation?
Backwards, Upwards, Rightwards, Pressure (BURP) technique:[2] displaces the larynx superiorly, posteriorly and rightward laterally to improve visualisation. 1. Whilst performing laryngoscopy, the intubating officer gently grasps the thyroid cartilage between the thumb and index and/or middle finger.
When should Sellick’s maneuver be performed?
The Sellick Maneuver is performed by applying gentle pressure to the anterior neck (in a posterior direction) at the level of the Cricoid Cartilage. The Maneuver is most often used to help align the airway structures during endotracheal intubation.
What is burp in intubation?
As we know, backward, upward, rightward pressure (BURP) maneuver is a useful skill to facilitate glottis visualization for tracheal intubation. 3.
What is 5 point auscultation after intubation?
Auscultaton of breath sounds over the stomach, lung apices, and axillae. It is used as one of several relatively effective methods of confirming that an endotracheal tube is properly placed in the trachea and not in the esophagus.
What is a rare but serious complication associated with endotracheal tube extubation?
Although many of the problems related to endotracheal extubation are minor, serious complications can arise. These complications include cardiovascular stress, pulmonary aspiration, hypoxemia, and even death. Respiratory failure can occur almost immediately or later after extubation.
What is a common result of an endotracheal tube that is positioned too low and into the right main stem bronchus?
The main issue with the malposition of an ETT is that it is inserted too far, resulting in intubation of the right main bronchus. This results in overinflation of the right lung and collapse of the left lung. In some cases, this can lead to a right-sided tension pneumothorax.
What are the indications for an awake fiberoptic intubation?
The following are indications for an Awake Fibreoptic Intubation: A patient with atlanto-axial instability of their cervical spine, secondary to Rheumatoid Arthritis. Impending airway obstruction secondary to acute epiglottitis. A history of difficulty in mask ventilation.
Why choose Airtraq for intubation?
Facilitates intubation from any position (face to face, etc.). High intubation success rate in Difficult Airways. Easier to learn than other Video laryngoscopes. Clinical evidence of Airtraq’s superior performance. Airtraq produces less haemodynamic stimulation.
How Airtraq simplifies video laryngoscopy?
How Airtraq simplifies Video Laryngoscopy. Airtraq’s channel simplifies ETT insertion reducing intubation time. 90º shape minimizes hyperextension and reduces force required. Facilitates intubation from any position (face to face, etc.). High intubation success rate in Difficult Airways. Easier to learn than other Video laryngoscopes.
What are the benefits of using a 90º shape for intubation?
Eliminates stylet costs. 90º shape minimizes hyperextension and reduces force required. Facilitates intubation from any position (face to face, etc.). High intubation success rate in Difficult Airways.