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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.
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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.
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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

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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.
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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.
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...

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The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
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Submental intubation: our experience.

Anuradha Navaneetham1, S Vinod Thangaswamy, Naveen Rao

  • 1HOSMAT Hospital, Bangalore, India.

Journal of Maxillofacial and Oral Surgery
|November 10, 2012
PubMed
Summary
This summary is machine-generated.

Submental intubation is a simple, rapid airway management technique for severe midfacial fractures, potentially avoiding tracheostomy. This method, used in 15 cases, showed low morbidity with minor complications.

Keywords:
Maxillofacial injuriesMidfacial fracturesSubmental intubation

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Area of Science:

  • Maxillofacial Surgery
  • Trauma Management
  • Airway Management

Background:

  • Midfacial fractures complicate airway management, often requiring difficult intubation choices.
  • Submental intubation offers an alternative to nasoendotracheal intubation and tracheostomy in severe maxillofacial injuries.

Purpose of the Study:

  • To evaluate the efficacy and safety of the submental intubation technique in patients with severe midfacial fractures.

Main Methods:

  • The submental intubation-paramedian technique was employed in 15 patients with fractures affecting dental occlusion and associated skull base or nasal fractures.
  • Data collected from May 2005 to April 2007 at Hosmat Hospital, Bangalore.

Main Results:

  • The average procedure duration was 7 minutes.
  • The endotracheal tube was in place for an average of 20 hours post-surgery.
  • Two cases of postoperative tube obstruction were successfully managed.

Conclusions:

  • Submental intubation is a technically demanding yet simple and rapid procedure.
  • It can be a viable alternative to tracheostomy in selected patients with severe midfacial fractures.
  • The technique demonstrates low morbidity.