1887

Endotracheal intubation

image of Endotracheal intubation
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Abstract

Placement of an endotracheal (ET) tube in the trachea is most commonly performed for general anaesthesia. It is also indicated in patients presenting with severe upper airway obstruction and during cardiopulmonary resuscitation.

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Figures

Image of Figure E.18:
Figure E.18: Equipment prepared for intubation of a canine patient, including: ET tubes of various widths and lengths; laryngoscope with various blade lengths; open weave bandage for securing the tube to the patient; syringe for ET tube cuff inflation; induction agent drawn up in a syringe and 0.9% saline intravenous flush syringe; a dog urinary catheter and a rigid stylet (most commonly used with silicone ET tubes, not shown) which may be useful if a challenging intubation is anticipated; a tongue depressor which allows a thorough upper airway examination to be conducted prior to induction; suction tubing and a flexible suction catheter in case of regurgitation.
Image of Figure E.19:
Figure E.19: An assistant holds the patient’s upper jaw using a bandage tie behind the canine teeth and extends the head and neck towards the operator who grasps the lower jaw and draws out the tongue. Flow-by oxygen is provided by an additional assistant.
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