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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

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...
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Endotracheal Intubation II: Nursing Management01:17

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...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Tracheostomy: Procedure and Tubes01:28

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...
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...

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Related Experiment Video

Updated: May 26, 2026

Intubation-mediated Intratracheal (IMIT) Instillation: A Noninvasive, Lung-specific Delivery System
08:00

Intubation-mediated Intratracheal (IMIT) Instillation: A Noninvasive, Lung-specific Delivery System

Published on: November 17, 2014

The Kepler intubation system.

Thomas M Hemmerling1, Mohamad Wehbe, Cedrick Zaouter

  • 1Department of Anaesthesiology, McGill University, Montreal General Hospital, 1650 Cedar Avenue Montreal, H3G 1A4, Quebec, Canada. thomas.hemmerling@mcgill.ca

Anesthesia and Analgesia
|December 23, 2011
PubMed
Summary
This summary is machine-generated.

A new robotic intubation system, the Kepler Intubation System, was developed and tested. This system successfully enabled remote endotracheal intubations within 40-60 seconds in a feasibility study.

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Area of Science:

  • Robotics in Medicine
  • Medical Device Development
  • Anesthesiology Technology

Background:

  • Endotracheal intubation is a critical medical procedure.
  • Current intubation methods can be challenging, especially in difficult airway scenarios.
  • Remote or assisted intubation could improve patient outcomes and operator safety.

Purpose of the Study:

  • To develop a novel robotic system for performing endotracheal intubations.
  • To evaluate the feasibility and performance of this robotic system in a pilot study.
  • To assess intubation success rates and times using different operational modes.

Main Methods:

  • The Kepler Intubation System, integrating a videolaryngoscope with a robotic arm controlled remotely, was developed.
  • Ninety intubations were performed on an airway trainer mannequin by a single operator.
  • Trials included direct view, indirect view, and semiautomated intubation modes.

Main Results:

  • All intubations achieved first-attempt success.
  • Mean intubation times were 46s (direct view), 51s (indirect view), and 41s (semiautomated).
  • Performance improved over trials in direct and indirect view groups; semiautomated mode showed high reproducibility.

Conclusions:

  • A functional robotic intubation system capable of remote procedures has been developed.
  • The system demonstrated feasibility for successful and timely endotracheal intubations.
  • Robotic assistance shows potential for improving intubation efficiency and consistency.