It is one of the emergency mechanical ventilation for life-threatening conditions

1. ENDOTRACHE
AL
INTUBATION

2. DEFINITION
Endotracheal intubation
is the placement of a flexible
plastic tube into the trachea to
maintain an open airway
or to serve as a conduit
through which to administer
certain drugs.

3. PURPOSE
To administer oxygen
To remove secretions
To ventilate the lungs.
To establish and maintain airway
To treat acute respiratory failure
and persistent hypoxemia.

4. INDICATIONS
 CNS Depression.
Neuromuscular disease.
Chest wall injury.
Upper airway obstruction.
Aspiration prophylaxis.
Fracture vertebrae and
spinal cord .

5. ARTICLES REQUIRED
Sand Bag /Towelroll
Suction apparatus with Tubing
Suction Catheter
Ambu bag and Mask
Oxygen source and Tubing
Laryngoscope with appropriate size
blade
Magill’s Forceps

6. Cont.
.Endo tracheal tube of appropriate
size
Stylette
Xylocaine jelly
Plastic syringe 10ml
Oral airway
Cotton Tape
Gloves
Face mask

7. Different sizes of cuffed
and plain ET
Tubes

8. LARYNGEOSCOPE

9. MAGILL’S
FORCEPS

10. SYRINGE TO INFLATE
CUFF

11. SUCTION APPARATUS

12. Technique of
Intubation
Raise the head by 5 cm with a
block ortowel roll

13. POSITION FOR
INTUBATION
Position your
patient in supine
position with head
extended by
keeping sand bag
or towel role under
the neck.

15. PROCEDURE
 Hold the laryngoscope with LEFT
hand irrespective of dominant
hand
 Open the mouth with right hand index
finger with support of thumb.
 Introduce Laryngoscope from right
angle of mouth
 Shift the tongue to left and go in.
 Press over tongue.
 See epiglottis and lift it.
 Watch for vocal cord

16. Procedure
cont..

17. Procedure
cont.
.

18. Cont…
Take the tube in right hand
Introduce under vision
Confirm placement
by auscultation
If tube is cuffed inflate the
cuff

19. Cont.
.Connect the source to
tube
Confirm the position of
tube
a)by auscultation
b) by chest expansion
c) by bag movement
Fix the tube with
adhesive.

20. Stabilizing ET
Tube

21. Cont.
.
Connection to
ventilate with
-ambu's bag
-anesthesia
machine
-ventilator

22. ENDO TRACHEAL TUBE
IN PLACE

23. POST PROCEDURE CARE
Place the patient in lateral
position
Arrange for chest X-
ray in order tocheck
placement of ET Tube
Apply endotracheal
suctioning as needed.
Watch for chest
movements,ET Tube

24. COMPLICATIONS
Tube in esophagus
Endo bronchial Intubation
Trauma to lips and tooth
Laryngeal and tracheal
Injury
Baro trauma to lungs
Bleeding
Tracheities
Pulmonary infection and
sepsis