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    Endotracheal Tube ETT Insertion Intubation

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    mochkurniawan
    This document provides instructions for inserting an endotracheal tube. It describes the equipment needed, including a laryngoscope, endotracheal tube, syringe, and ventilation equipment. It explains that the tube sits in the trachea to secure the airway during anesthesia, surgery, or for patients who can't protect their airway. The steps outlined include pre-oxygenating the patient, positioning their head and neck, inserting the laryngoscope to visualize the vocal cords, sliding the tube between the cords, inflating the cuff, securing the tube, and confirming proper placement with ventilation, auscultation, or end-tidal CO2 monitoring. A video further demonstrates the laryngoscope technique and

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    Endotracheal Tube ETT Insertion Intubation

    Uploaded by

    mochkurniawan
    107 views3 pages
    This document provides instructions for inserting an endotracheal tube. It describes the equipment needed, including a laryngoscope, endotracheal tube, syringe, and ventilation equipment. It explains that the tube sits in the trachea to secure the airway during anesthesia, surgery, or for patients who can't protect their airway. The steps outlined include pre-oxygenating the patient, positioning their head and neck, inserting the laryngoscope to visualize the vocal cords, sliding the tube between the cords, inflating the cuff, securing the tube, and confirming proper placement with ventilation, auscultation, or end-tidal CO2 monitoring. A video further demonstrates the laryngoscope technique and

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    Oxfordmedicaleducation.com-Endotracheal Tube ETT Insertion Intubation

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    This document provides instructions for inserting an endotracheal tube. It describes the equipment needed, including a laryngoscope, endotracheal tube, syringe, and ventilation equipment. It explains that the tube sits in the trachea to secure the airway during anesthesia, surgery, or for patients who can't protect their airway. The steps outlined include pre-oxygenating the patient, positioning their head and neck, inserting the laryngoscope to visualize the vocal cords, sliding the tube between the cords, inflating the cuff, securing the tube, and confirming proper placement with ventilation, auscultation, or end-tidal CO2 monitoring. A video further demonstrates the laryngoscope technique and

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    107 views3 pages

    Endotracheal Tube ETT Insertion Intubation

    Uploaded by

    mochkurniawan
    This document provides instructions for inserting an endotracheal tube. It describes the equipment needed, including a laryngoscope, endotracheal tube, syringe, and ventilation equipment. It explains that the tube sits in the trachea to secure the airway during anesthesia, surgery, or for patients who can't protect their airway. The steps outlined include pre-oxygenating the patient, positioning their head and neck, inserting the laryngoscope to visualize the vocal cords, sliding the tube between the cords, inflating the cuff, securing the tube, and confirming proper placement with ventilation, auscultation, or end-tidal CO2 monitoring. A video further demonstrates the laryngoscope technique and

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Oxford Medical Education

    Endotracheal tube (ETT) insertion (intubation)


    oxfordmedicaleducation.com/clinical-skills/procedures/endotracheal-tube/

    October 26,
    2015

    How to insert an endotracheal tube (intubation)


    for doctors and medical students

    What is an endotracheal tube?


    A fexible plastic tube with cuff on end which sits inside the trachea (fully secures
    airway – the gold standard of airway management)
    Attached to ventilation bag/machine
    Use:
    Ventilation during anaesthetic for surgery (if muscle relaxant is required, long
    case, abdominal surgery, or head positing may be required)
    Patient can’t protect their airway (e.g. if GCS <8, high aspiration risk or given
    muscle relaxation)
    Potential airway obstruction (airway burns, epiglottitis, neck haematoma)
    Inadequate ventilation/oxygenation (e.g. COPD, head injury, ARDS)
    Rapid sequence induction (RSI) intubation
    Procedural variation using rapid anaesthetisation with cricoid pressure to
    prevent aspiration while airway is quickly secured
    Used for patients at risk of aspiration e.g. non-fasted patients
    Size: 8mm diameter for men, 7mm diameter for women

    1/3
    How to insert an endotracheal tube (ETT)
    Equipment required for ET tube insertion
    Laryngoscope (check size – the blade should reach between the lips and
    larynx – size 3 for most patients), turn on light
    Cuffed endotracheal tube
    Syringe for cuff inflation
    Monitoring: end-tidal CO2 monitor, pulse oximeter, cardiac monitor, blood
    pressure
    Tape
    Suction
    Ventilation bag
    Face mask
    Oxygen supply
    Medications in awake patient: hypnotic, analgesia, short-acting muscle
    relaxant (to aid intubation)

    Watch Video At: https://youtu.be/uktqNHVSwwM

    Video on how to insert an endotracheal tube

    2/3
    Laryngoscope technique
    Give medications if required
    Pre-oxygenate patient with high concentration oxygen for 3-5mins
    Position patient
    Neck flexed to 15˚, head extended on neck (i.e. chin anteriorly), no
    lateral deviation
    Stand behind the head of the patient
    Open mouth and inspect: remove any dentures/debris, suction any
    secretions
    Holding laryngoscope in left hand, insert it looking down its length
    Passing the tongue
    Slide down right side of mouth until the tonsils are seen
    Now move it to the left to push the tongue centrally until the uvula is
    seen
    Advance over the base of the tongue until the epiglottis is seen
    Insertion technique
    Apply traction to the long axis of the laryngoscope handle (this lifts the
    epiglottis so that the V-shaped glottis can be seen)
    Insert the tube in the groove of the laryngoscope so that the cuff passes the
    vocal cords
    Remove laryngoscope and inflate the cuff of the tube with ̴ 15ml air from a
    20ml syringe
    Attach ventilation bag/machine and ventilate (~10 breaths/min) with high
    concentration oxygen and observe chest expansion and auscultate to
    confirm correct positioning
    Consider applying CO2 detector or end-tidal CO2 monitor to confirm
    placement
    Secure the endotracheal tube with tape
    if it takes more than 30 seconds, remove all equipment and ventilate
    patient with a bag and mask until ready to retry intubation

    Other airway pages

    How to insert a nasopharyngeal airway (NPA)

    How to insert a supraglottic airway

    How to insert an oropharyngeal airway

    What is a tracheostomy?

    3/3

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