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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...
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...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Anatomical Positions01:11

Anatomical Positions

In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.

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Related Experiment Video

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An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
07:16

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Routine intubation in the prone position.

Klaus Baer1, Bo Nyström

  • 1Clinic of Spinal Surgery , Löt, 64594 Strängnäs, Sweden.

Upsala Journal of Medical Sciences
|May 12, 2012
PubMed
Summary
This summary is machine-generated.

Tracheal intubation in the prone position is effective for routine use in patients undergoing lumbar fusion. This procedure, requiring experienced anesthesiologists and continuous training, achieved a 98.8% success rate in a 6-year study.

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Last Updated: May 22, 2026

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Area of Science:

  • Anesthesiology
  • Surgical Procedures
  • Airway Management

Background:

  • Tracheal intubation in prone position was previously limited to emergencies.
  • Routine prone intubation developed at our clinic for lumbar fusion candidates.
  • A new test identified painful motion segments in low back pain patients.

Purpose of the Study:

  • To evaluate the feasibility and success of routine tracheal intubation in the prone position.
  • To identify factors influencing successful prone intubation.
  • To assess the safety and efficacy of this technique in a clinical setting.

Main Methods:

  • A 6-year study of 247 consecutive patients undergoing lumbar fusion.
  • Preoperative Mallampati classification of pharyngeal structures.
  • Intraoperative Cormack and Lehane glottis visualization grading.

Main Results:

  • Successful prone tracheal intubation in 244 of 247 patients (98.8%).
  • Mallampati class 1 patients mostly had Cormack and Lehane grade 1.
  • Intubation was successful even in 21 of 23 Mallampati class 3 patients.

Conclusions:

  • Routine tracheal intubation in the prone position is effective.
  • Requires experienced anesthesiologists and continuous training.
  • Good support from the anesthesiology staff is crucial for success.