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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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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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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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Outcomes in the Management of Pediatric Retrograde Cricopharyngeal Dysfunction.

The Laryngoscope·2026
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The Mental Health Impact of Retrograde Cricopharyngeus Dysfunction (RCPD) and Its Treatment.

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Related Experiment Video

Updated: Jan 12, 2026

Subcutaneous Neurotrophin 4 Infusion Using Osmotic Pumps or Direct Muscular Injection Enhances Aging Rat Laryngeal Muscles
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How I Do It: The Transtracheal Approach for Awake Cricopharyngeal Botulinum Toxin Injection.

Andrew Tritter1, Alexander Simko1, Karim Asi1

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, UTHealth Houston-McGovern Medical School, Houston, Texas, USA.

The Laryngoscope
|November 7, 2025
PubMed
Summary

A new transtracheal technique for cricopharyngeal botulinum toxin injection offers a safe and effective way to treat patients. This method reduces risks and avoids general anesthesia for improved cricopharyngeus muscle chemodenervation.

Area of Science:

  • Otolaryngology
  • Neuromuscular Medicine

Background:

  • Cricopharyngeal muscle dysfunction can cause significant swallowing difficulties.
  • Botulinum toxin injections are used for muscle chemodenervation, but delivery methods have limitations.
Keywords:
botulinum toxincricopharyngeal dysphagiacricopharyngeal spasmcricopharyngeus muscle dysfunctionelectromyographypharyngoesophageal dysphagiaretrograde cricopharyngeus dysfunctiontranstracheal

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