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Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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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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Endotracheal Intubation I: Procedure01:15

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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.
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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.
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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.
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Tracheostomy Suctioning II: Procedure01:23

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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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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Related Experiment Video

Updated: Aug 5, 2025

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
03:58

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Rapid sequence tandem intubation to navigate a subglottic obstruction.

Ravi V Chacko1, Nisha X Jain2, Brandon J Baird3

  • 1University of Chicago, Section of Emergency Medicine, United States of America; Advocate Christ Medical Center, Department of Emergency Medicine, United States of America.

The American Journal of Emergency Medicine
|March 24, 2023
PubMed
Summary
This summary is machine-generated.

Tandem intubation, using both video laryngoscopy and flexible endoscopy sequentially, is an effective strategy for complex difficult airways. This case report details a successful rapid sequence tandem intubation for a patient with a tortuous subglottic obstruction.

Keywords:
Airway obstructionDifficult airwayIntubationTandem intubation

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Area of Science:

  • Anesthesiology
  • Critical Care Medicine
  • Pulmonology

Background:

  • Effective emergency airway management hinges on selecting optimal tools for anticipated challenges.
  • Video laryngoscopy and flexible endoscopy are standard techniques for managing difficult airways.

Observation:

  • A 53-year-old female presented with mixed respiratory failure due to an obstructing lung mass.
  • Imaging revealed a tortuous subglottic obstruction, rendering non-invasive support insufficient.

Findings:

  • Neither video laryngoscopy nor flexible endoscopy alone was deemed adequate for intubation.
  • A novel tandem intubation strategy, sequentially employing both methods, was successfully implemented.

Implications:

  • This case highlights the utility of tandem intubation in managing complex airway obstructions.
  • The described technique offers a viable approach for challenging intubations where single-modality methods may fail.