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Endotracheal Intubation II: Nursing Management

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...

Endotracheal Intubation I: Procedure

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...

Mechanical Ventilation II: Invasive Ventilation

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...

Mechanical Ventilation III: Noninvasive Ventilation

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation (NIPPV)

Tracheostomy: Procedure and Tubes

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...

Tracheostomy Care I: Pre-procedural Steps

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:

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Related Experiment Video

Updated: May 27, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

A nurse's experience being intubated and receiving mechanical ventilation.

Nicole E Jenabzadeh¹, Linda Chlan

¹Avanti Medical Group, St Paul, Minnesota, USA.

Critical Care Nurse

|December 3, 2011

Summary

Mechanical ventilation is a stressful experience for patients and their families. Nurses should prioritize patient-centered care, including frequent reorientation for those on mechanical ventilation.

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Last Updated: May 27, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

A Structured Approach to Extubation in Mechanically Ventilated Rats

A Structured Approach to Extubation in Mechanically Ventilated Rats

Published on: July 18, 2025

Area of Science:

Nursing
Patient Experience
Respiratory Care

Background:

Mechanical ventilation is a critical but often distressing intervention for patients with respiratory compromise.
The psychological impact on patients and their families requires careful consideration in clinical practice.

Purpose of the Study:

To highlight the patient's perspective on intubation and mechanical ventilation.
To emphasize the importance of patient-centered care during mechanical ventilation.

Main Methods:

Qualitative personal narrative from a nurse with a history of childhood asthma.
Reflective account of experiences with intubation and mechanical ventilation.

Main Results:

Mechanical ventilation is a highly stressful experience for patients and their families.
The need for frequent reorientation to maintain patient awareness and reduce anxiety.

Conclusions:

Nurses must recognize the profound stress associated with mechanical ventilation.
Prioritizing patient-centered care, including consistent reorientation, is essential for improving patient outcomes and well-being during mechanical ventilation.