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    Endotracheal Intubation

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    Anonymous yLcfgpi
    This is a powerpoint presentation containing 32 slides as a part of advanced nursing practice demonstration, in curriculum of First year M.Sc. Nursing.

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    Endotracheal Intubation

    Uploaded by

    Anonymous yLcfgpi
    393 views31 pages
    This is a powerpoint presentation containing 32 slides as a part of advanced nursing practice demonstration, in curriculum of First year M.Sc. Nursing.

    Copyright

    © © All Rights Reserved

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    PPTX, PDF, TXT or read online from Scribd

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    This is a powerpoint presentation containing 32 slides as a part of advanced nursing practice demonstration, in curriculum of First year M.Sc. Nursing.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    393 views31 pages

    Endotracheal Intubation

    Uploaded by

    Anonymous yLcfgpi
    This is a powerpoint presentation containing 32 slides as a part of advanced nursing practice demonstration, in curriculum of First year M.Sc. Nursing.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 31

    ENDOTRACHEAL

    INTUBATION

    Presented by-

    Indrakshi Basu
    st year, M.Sc. Nursing
    1st

    INTRODUCTION
    An emergent critical care procedure.
    Needs advanced nursing Practice.
    Ensure AIRWAY Patency.
    Done by physicians, assisted by
    nursing personnel.

    RELATED ANATOMY
    AND PHYSIOLOGY

    ENDOTRACHEAL TUBE
    PLACEMENT

    DEFINITION
    Insertion of a hollow, slender,
    long tube into trachea bypassing
    the upper airway and laryngeal
    strictures to create an
    alternative airway solution.
    Distal tip of tube situates just
    above carina.

    INDICATION
    AcuteAirway
    Pulmonary
    Structural
    Neuromuscular
    Aspiration
    Need
    Respiratory
    Anomaly
    prophylaxis
    Obstructive
    Protection
    Disorder
    Failure
    Disorder

    CONTRAINDICATION
    Cervical Spine Injury

    MALLAMPATI
    CLASSIFICATION

    DIFFICULT

    DESCRIPTION
    No anticipated
    difficulty
    GRADE 1:
    Visualised soft palate,
    fauces, uvuala,
    tonsillar pillar.
    GRADE 2:
    Visualised soft
    palate, fauces,uvuala.

    Anticipated difficulty
    GRADE 3(Moderate):
    Visualised soft palate,
    base of uvuala.
    GRADE 4(Severe):
    No soft palate
    visualised.

    TYPES
    1. orotracheal intubation.
    2. Nasotracheal intubation.

    TECHNIQUES

    CURVE
    D
    BLADE

    TECHNIQUE

    STRAIGHT
    BLADE

    SIZE of E. T. TUBE

    Distance between lips and


    location in mid trachea of distal
    end (in cm)is the size of ET tube.
    Premature: 2.5 mm
    Full term: 3.0 mm
    Adult (male): 8 to 8.5 mm
    Adult (female): 7.5mm
    Internal
    diameter

    ARTICLE PREPARATION
    Tray set up.
    Uninterrupted source of oxygen.
    Medication.

    MEDICATIONS
    KETAMINE 1.5 -2 mg/kg. TBW.
    ETOMEDITE 0.3-0.4 mg/kg TBW.
    MIDAZOLAM 0.1- 0.3 mg/kg TBW.
    PROPOFOL 1-2.5 mg/kg TBW +
    (0.4* TBW).
    FENTANYL 2-10 mcg/kg TBW.

    Uncuffed E.T. tube for


    neonates

    Laryngeal mask for


    difficult intubation

    RESUSCITA
    TION
    TROLLY

    GENERAL CONSIDERATION

    Privacy and comfort.


    Safety.
    Consent.
    Assembling resources tactfully.
    Asepsis.
    Communication aid of client.

    PROCEDURE
    J:\New folder\Endotracheal
    intubation A3chem Multimedia.mp4

    AFTER CARE OF CLIENT


    Tidy up .
    X- ray report collection.
    Documentation.
    DOPE-Displacement of tube, tube obstruction
    Pneumothorax, equipment failure.
    Suction.
    Cuff Pressure measurement.
    Reporting as vulnerable client.
    VAP Bundle. * *

    AFTER CARE OF ARTICLE


    Ambu bag in Closed zip bag.
    Papers
    Plastic items
    Body waste

    COMPLICATIONS
    Spinal cord injury

    During intubation

    CARDIOVASCULAR
    COMPLICATIONS

    TUBE RELATED
    COMPLICATION
    Advancement
    Mechanical
    damage
    in bronchus
    of upper airway structure
    Dislodgement
    kink & block

    POST
    INTUBATIONCOMPLICATI
    ON
    Laryngeal edema
    Laryngospasm
    Hemorrhage
    Dysphonia

    Principles in the
    procedure?
    SPECIFIC PRINCIPLES:
    Microbiology, Anatomy &
    Physiology, Body mechanics,
    Psychology, Pharmacology, skilled
    practice hand, Radiology..
    GENERAL PRINCIPLES OF
    NURSING:
    Safety, therapeutic effectiveness,
    economy of resources.

    Any quiry????

    Thank
    you

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