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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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Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

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The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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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 Intubation II: Nursing Management01:17

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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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Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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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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Administering Oxygen by Mask01:30

Administering Oxygen by Mask

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Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
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Related Experiment Video

Updated: Dec 31, 2025

A Swine Model of Neonatal Asphyxia
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An intervention to decrease time to parents' first hold of infants in the Neonatal Intensive Care Unit requiring

Kaitlin M Kenaley1, Annette L Rickolt2, Derek A Vandersteur2

  • 1Pediatrics/Neonatology, Christiana Care Health System, Newark, DE, USA. Kaitlin.Kenaley@ChristianaCare.org.

Journal of Perinatology : Official Journal of the California Perinatal Association
|January 9, 2020
PubMed
Summary
This summary is machine-generated.

Parental skin-to-skin contact for critically ill neonates was improved using a targeted intervention. This resulted in significantly reduced time to first parental hold, enhancing early bonding for infants requiring respiratory support.

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Area of Science:

  • Neonatal care
  • Pediatric intensive care
  • Quality improvement in healthcare

Background:

  • Barriers exist to parental skin-to-skin contact for critically ill neonates.
  • Current practices show prolonged time to first parental hold for neonates needing respiratory support.
  • Low percentage of neonates are held by parents within the first 24 hours.

Purpose of the Study:

  • To decrease the median time to first parental hold for neonates requiring respiratory support.
  • To increase the percentage of neonates held within the first 24 hours after birth.
  • To identify and overcome barriers to parental holding in the neonatal intensive care unit.

Main Methods:

  • Utilized Lean Six Sigma methodology to identify barriers and opportunities for improvement.
  • Implemented a multifactorial improvement bundle.
  • Focused on reducing the time to first parental hold for critically ill neonates.

Main Results:

  • Median time to first parental hold significantly reduced from 6.4 to 1.2 days (p < 0.01).
  • Percentage of infants held within 24 hours increased from 6% to 35%.
  • No increase in adverse events associated with parental holding was observed.

Conclusions:

  • An improvement bundle effectively reduced the time to first parental hold for infants requiring respiratory support.
  • The intervention successfully facilitated earlier parental-neonatal bonding.
  • Quality improvement initiatives can overcome barriers to essential neonatal care practices.