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Related Concept Videos

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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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 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

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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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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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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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...
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Related Experiment Video

Updated: Sep 10, 2025

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

Published on: August 2, 2024

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Risk Factors for Extubation Failure and Prolonged Intubation in Patients With Acute Brain Injury Following Surgery: A

Ue-Cheung Ho1,2, Hsueh-Yi Lu3, Lu-Ting Kuo1,4

  • 1Division of Neurosurgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.

World Journal of Surgery
|August 26, 2025
PubMed
Summary

Extubation failure and prolonged intubation in acute brain injury (ABI) patients after surgery are predicted by Glasgow Coma Scale (GCS) scores. Age and initial GCS also predict prolonged intubation, aiding early management.

Keywords:
Glasgow coma scaleacute brain injuryextubation failuremechanical ventilationprolonged intubation

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

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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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Last Updated: Sep 10, 2025

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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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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Area of Science:

  • Neurosurgery
  • Critical Care Medicine
  • Neurology

Background:

  • Acute brain injury (ABI) presents significant mortality and morbidity.
  • Surgical intervention for intracranial hematomas or increased intracranial pressure necessitates mechanical ventilation.
  • Patients with ABI may experience extubation failure or prolonged intubation.

Purpose of the Study:

  • To analyze risk factors for extubation failure in surgically treated ABI patients.
  • To identify predictors of prolonged intubation in this patient cohort.

Main Methods:

  • Retrospective cohort study of 641 adult ABI patients requiring mechanical ventilation >48 hours.
  • Analysis of clinical data, demographics, Glasgow Coma Scale (GCS) scores, and lab results.
  • Data collected at admission and pre-extubation.

Main Results:

  • 92.9% of patients were successfully extubated; 7.1% required reintubation.
  • Prolonged intubation (>14 days) occurred in 33.9% of patients.
  • GCS at extubation predicted reintubation; age and initial GCS predicted prolonged intubation.

Conclusions:

  • This study identifies key indicators for extubation failure and prolonged intubation in postsurgical ABI patients.
  • Recognizing these risk factors facilitates timely interventions and prognostic accuracy.
  • Findings support improved early management strategies for acute brain injury.