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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

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...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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...
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
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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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Related Experiment Video

Updated: Jun 10, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Novel Simulation-based Awake Fiberoptic Intubation Curriculum: Pilot Study.

Daniel Haas1,2, Jenna Fredette1, Kathleen A Murphy1

  • 1Christiana Care Health System, Department of Emergency Medicine, Newark, Delaware.

The Western Journal of Emergency Medicine
|June 8, 2026
PubMed
Summary
This summary is machine-generated.

Emergency physicians can improve awake fiberoptic intubation skills through simulation-based training. This curriculum enhanced physician confidence and objective performance in the critical procedure.

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Simulation-based learning

Background:

  • Awake fiberoptic intubation is a crucial skill for emergency physicians, especially in challenging airway scenarios.
  • Inadequate training and low confidence hinder the effective performance of this procedure.
  • Simulation-based curricula offer a promising solution to improve proficiency.

Purpose of the Study:

  • To develop and evaluate a simulation-based curriculum for awake fiberoptic intubation.
  • To enhance emergency physicians' skills, confidence, and performance in this procedure.

Main Methods:

  • A procedural checklist was developed and refined by experts.
  • An instructional video and deliberate practice on manikins and simulators were utilized.
  • Objective metrics and subjective self-assessments were compared pre- and post-intervention.

Main Results:

  • Significant improvements were observed in Objective Structured Assessment of Technical Skill global rating scale scores.
  • Time to endotracheal tube passage on the simulator decreased significantly.
  • Participants reported increased self-assessed performance and confidence in performing awake fiberoptic intubation.

Conclusions:

  • The simulation-based curriculum effectively improved both subjective and objective performance of awake fiberoptic intubation.
  • Participants reported higher confidence and satisfaction with the training.
  • This novel approach addresses training gaps and enhances physician capability in managing difficult airways.