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Related Concept Videos

Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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
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Endotracheal Tube Extubation

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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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 interventions are...
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Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine
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Factors Affecting Prolonged Intubation and Difficult Airway After Odontogenic Infection.

Jack Maddalozzo1, Allison Salmon1, S Loren Moles2

  • 1Dental Student, University of Illinois Chicago, College of Dentistry, Chicago, IL.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|May 27, 2026
PubMed
Summary

Severe odontogenic infections necessitating airway management occurred in 10.3% of patients. Immunocompromised status and pharyngeal space infections were linked to prolonged intubation, increasing hospital stays.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Anesthesiology
  • Infectious Diseases

Background:

  • Odontogenic infections pose life-threatening risks due to potential airway obstruction, trismus, and edema.
  • Effective airway management is critical in severe cases.

Purpose of the Study:

  • To determine the frequency of prolonged and advanced airway management in patients with severe odontogenic infections.
  • To identify preoperative and postoperative risk factors associated with such management.

Main Methods:

  • Retrospective cohort study of patients undergoing incision and drainage (I&D) for odontogenic infections.
  • Analysis of risk factors including age, comorbidities, and infection characteristics.
  • Primary outcome: need for perioperative advanced airway management (endotracheal tube or tracheostomy).

Main Results:

  • 10.3% of 349 patients required perioperative intubation.
  • Prolonged intubation was associated with immunocompromised status (22.2%) and pharyngeal space infection (38.9%).
  • Patients with prolonged intubation had significantly longer hospital stays (7.6 vs. 3.6 days).

Conclusions:

  • Airway compromise requiring prolonged intubation occurred in 10.3% of patients with severe odontogenic infections.
  • Immunocompromised status and pharyngeal space infection are key risk factors for prolonged intubation.
  • Prolonged intubation significantly increases hospital length of stay.