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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...
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...
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
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...
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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Related Experiment Video

Updated: May 11, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Progressive mandibular midline deviation after difficult tracheal intubation.

J Mareque Bueno1, M Fernández-Barriales, M A Morey-Mas

  • 1Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Barcelona, Spain; Institute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain.

Anaesthesia
|May 16, 2013
PubMed
Summary
This summary is machine-generated.

Difficult intubation can cause temporomandibular joint (TMJ) condylar resorption, leading to jaw deviation. This condition was successfully treated with prosthetic joint replacement.

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Last Updated: May 11, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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The Rigid Tube as an Alternative in Controlling the Problematic Airway
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Area of Science:

  • Oral and Maxillofacial Surgery
  • Anesthesiology
  • Orthodontics

Background:

  • Difficult intubation presents risks beyond airway management.
  • Temporomandibular joint (TMJ) disorders can significantly impact quality of life.
  • Condylar resorption is a degenerative process affecting the jaw joint.

Observation:

  • A case of progressive midline mandibular deviation following a difficult intubation is presented.
  • The deviation was directly linked to resorption of the temporomandibular joint condyle.
  • The patient experienced functional and aesthetic impairments due to the mandibular shift.

Findings:

  • Histopathological examination confirmed condylar resorption of the temporomandibular joint.
  • The difficult intubation procedure was identified as the likely etiology.
  • Surgical intervention with prosthetic joint replacement effectively corrected the mandibular deviation.

Implications:

  • Highlights a rare but significant complication of difficult intubation.
  • Underscores the importance of recognizing and managing TMJ complications post-intubation.
  • Demonstrates the efficacy of prosthetic joint replacement in treating severe condylar resorption and mandibular deviation.