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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

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

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

Cardiopulmonary Resuscitation II: ACLS Airway Management

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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...
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Endotracheal Tube Extubation01:24

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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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Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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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
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
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Endotracheal Intubation in Mice via Direct Laryngoscopy Using an Otoscope
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A modified submental orotracheal intubation.

Keelara Shivalingaiah Savitha1, Abha Rani Kujur2, M S Vikram1

  • 1Department of Anaesthesia, St. John's Medical College Hospital, Bengaluru, Karnataka, India.

Anesthesia, Essays and Researches
|March 10, 2016
PubMed
Summary

Submental intubation (SMI) facilitates airway management during maxillofacial fracture repair. A modified technique ensures smooth endotracheal tube exteriorization, minimizing complications in this challenging surgical scenario.

Keywords:
Basilar skull fracturemaxillofacial injuriessubmental intubation

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Area of Science:

  • Maxillofacial Surgery
  • Anesthesiology
  • Trauma Surgery

Background:

  • Maxillofacial and basilar skull fractures often require open reduction and internal fixation.
  • Intraoperative dental occlusion is necessary, precluding standard oral or nasal intubation.
  • Submental intubation (SMI) is an established alternative for airway management in these cases.

Observation:

  • Standard submental intubation (SMI) can be challenging for unfamiliar practitioners.
  • A modified technique for smooth exteriorization of the endotracheal tube (ETT) during SMI is described.
  • Emphasis is placed on practical aspects to reduce potential complications.

Findings:

  • The modified SMI technique was successfully and uneventfully applied in five patients.
  • This approach simplifies ETT management during procedures requiring dental occlusion.
  • The technique proved effective in managing airways for complex facial trauma.

Implications:

  • This modified SMI technique offers a safer and more manageable approach for airway control in maxillofacial trauma surgery.
  • It can be readily adopted by surgeons and anesthesiologists to improve patient outcomes.
  • Further studies could explore broader applications and long-term benefits of this modified technique.