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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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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
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with 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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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

125
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

200
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Updated: Jul 10, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
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Guidelines for Elective Pediatric Fiberoptic Intubation

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Alternatives to neonatal intubation.

Calum T Roberts1, Joyce E O'Shea2

  • 1Department of Paediatrics, Monash University, Melbourne, VIC, Australia; The Ritchie Centre, Hudson Institute of Medical Research, Melbourne, VIC, Australia; Monash Newborn, Monash Children's Hospital, Melbourne, VIC, Australia.

Seminars in Fetal & Neonatal Medicine
|November 24, 2023
PubMed
Summary

Neonatal intubation skills are declining, necessitating alternative strategies for newborn resuscitation. Nasal devices and supraglottic airways offer promising alternatives to face mask ventilation, improving respiratory support for infants.

Keywords:
Airway managementInfantIntratrachealIntubationLaryngeal masksNewbornResuscitation

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Blind Endotracheal Intubation in Neonatal Rabbits
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Area of Science:

  • Neonatal care
  • Pediatric resuscitation
  • Respiratory support

Background:

  • Declining opportunities to practice and maintain neonatal intubation skills.
  • Many clinicians lack proficiency in neonatal intubation, increasing the need for alternative methods.
  • Most preterm infants require stabilization, not intensive resuscitation, at birth.

Purpose of the Study:

  • To review alternative strategies for neonatal respiratory support and resuscitation.
  • To evaluate the effectiveness of non-intubation methods in optimizing breathing for newborns.
  • To identify the most effective initial approaches for term and near-term infant resuscitation.

Main Methods:

  • Review of current literature on neonatal respiratory support and resuscitation techniques.
  • Analysis of the efficacy of tactile stimulation, deferred cord clamping, and hypoxia avoidance.
  • Evaluation of nasal devices and supraglottic airways as alternatives to face mask ventilation and intubation.

Main Results:

  • Tactile stimulation, deferred cord clamping, and avoiding hypoxia can optimize breathing in preterm infants.
  • Nasal devices show promise as an alternative to face masks for early respiratory support.
  • Supraglottic airways may be the most effective initial resuscitation approach for term/near-term infants, potentially reducing the need for intubation.

Conclusions:

  • Alternative strategies like nasal devices and supraglottic airways are critical due to decreased intubation skill maintenance.
  • Supraglottic airways are teachable to various providers and may reduce the need for neonatal intubation.
  • Further research is needed to determine optimal training methods for neonatal resuscitation devices.