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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

769
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...
769
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

422
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....
422
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

493
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...
493
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

415
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
415
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

135
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:
135
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

435
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
435

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Related Experiment Video

Updated: Jun 8, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

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Non-intubated Airway Surgery.

Rui Wang1, Jiawei Chen1, Jianxing He1

  • 1Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, Guangzhou 510120, P.R. China.

Thoracic Surgery Clinics
|November 8, 2024
PubMed
Summary

Nonintubated airway surgery offers a novel approach for tracheal conditions, reducing trauma and complications. This technique utilizes spontaneous ventilation for improved surgical outcomes and patient recovery.

Keywords:
Airway surgeryNon-intubatedReconstructionResection

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

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Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow

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Last Updated: Jun 8, 2025

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Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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Area of Science:

  • Surgical innovation
  • Anesthesiology
  • Pulmonology

Background:

  • Tracheal tumors and stenosis present surgical challenges.
  • Traditional intubation methods can increase airway trauma and complications.
  • Minimally invasive techniques are sought to improve patient outcomes.

Purpose of the Study:

  • To introduce and describe nonintubated airway surgery for tracheal pathologies.
  • To highlight the benefits of spontaneous ventilation during airway surgery.
  • To outline the multimodal approach for patient management and monitoring.

Main Methods:

  • Utilizing supraglottic airway devices.
  • Employing short-acting anesthetic agents for spontaneous ventilation.
  • Tailoring surgical approaches based on lesion location.
  • Postoperative surveillance using bronchoscopy, CT, MRI, and PET/CT.

Main Results:

  • Reduced airway trauma compared to traditional intubation.
  • Fewer postoperative complications reported.
  • Facilitated surgical access and improved recovery.
  • Effective monitoring of surgical outcomes.

Conclusions:

  • Nonintubated airway surgery is a viable and beneficial alternative for specific tracheal conditions.
  • The technique enhances patient recovery and minimizes surgical trauma.
  • Multimodal surveillance is essential for optimal postoperative management.