Endotracheal intubation involves inserting a tube into the trachea through the mouth or nose. It is done to administer oxygen, remove secretions, promote airway patency, or assist with breathing difficulties. The document discusses indications for intubation, equipment needed, steps for performing intubation, post-intubation care, complications, and the importance of documentation.
ENDOTRACHEAL TUBE INTUBATION II Parts II Details II Clinical DiscussionSwatilekha Das
What is endotracheal intubation?
Endotracheal intubation is a procedure by which a tube is inserted through the mouth down into the trachea (the large airway from the mouth to the lungs). Before surgery, this is often done under deep sedation. In emergency situations, the patient is often unconscious at the time of this procedure.
For detailed information plz watch the slides till end.......
And plz like, share and comment and follow......
ENDOTRACHEAL TUBE INTUBATION II Parts II Details II Clinical DiscussionSwatilekha Das
What is endotracheal intubation?
Endotracheal intubation is a procedure by which a tube is inserted through the mouth down into the trachea (the large airway from the mouth to the lungs). Before surgery, this is often done under deep sedation. In emergency situations, the patient is often unconscious at the time of this procedure.
For detailed information plz watch the slides till end.......
And plz like, share and comment and follow......
An oropharyngeal airway (also known as an oral airway, OPA or Guedel pattern airway) is a medical device called an airway adjunct used in airway management.
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
BRONCHOSCOPY is a procedure in which a hollow, flexible tube called a bronchoscope is inserted into the airways through the nose or mouth to provide a view of the TRACHEOBRONCHIAL tree.
It can also be used to collect bronchial and/or lung secretions and to perform tissue biopsy.
Endotracheal Intubation For Paramedical StudentsSafiulla Nazeer
This an Presentation of ENDOTRACHEAL INTUBATION. Which Consist of Definition, Indication , Contra-indication, Equipments, Techniques, Procedure and Compliction.
An oropharyngeal airway (also known as an oral airway, OPA or Guedel pattern airway) is a medical device called an airway adjunct used in airway management.
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
BRONCHOSCOPY is a procedure in which a hollow, flexible tube called a bronchoscope is inserted into the airways through the nose or mouth to provide a view of the TRACHEOBRONCHIAL tree.
It can also be used to collect bronchial and/or lung secretions and to perform tissue biopsy.
Endotracheal Intubation For Paramedical StudentsSafiulla Nazeer
This an Presentation of ENDOTRACHEAL INTUBATION. Which Consist of Definition, Indication , Contra-indication, Equipments, Techniques, Procedure and Compliction.
The basics of endotracheal tube for the newly exposed to the hospital setting. In-depth knowledge regarding the ET tube requires more research and more exposure
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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2. It is the procedure in which an
endotracheal tube is inserted
through the nose or mouth into
the trachea.
3.
4. To administer oxygen.
To remove secretions.
To promote airway patency.
To assist when the patient has difficulty in
breathing.
To administer anesthetics.
5. Inability to maintain tone of the airway in
conditions such as
- trauma of the face and neck with
oropharyngeal bleeding.
- edema of upper airway secondary to
anaphylaxis.
Inability to have spontaneous ventilation
despite prolonged respiratory effort in case of
COPD
Status asthmatics
7. Complete obstruction of upper
airway in which surgical airway
is only remedy.
Cervical spine injury
8. A wide variety of endotracheal tubes are used
either oro-tracheal or naso-tracheal
intubations.
Some of them are having cuffs while others
don’t.
Oro-tracheal tubes arev larger than naso
tubes.
Size is maked in mm on outer side of tube.
11. Check the patient’s name and other
identification data.
Check the vital signs
Asses the level of consciousness
Asses the anatomy of airway such as ability to
open the mouth,presence of dentures and
size of tongue.
Check the oxygen saturation and ABG results.
Findings of x ray chest.
12. An intubation tube of appropriate size
I. Endotracheal tube of appropriate size
II. Stylet –a wire
III. Laryngoscope with appropriate striaght/curved blade
IV. Oral airway
V. Magill’s forceps
VI. Suction catheter
VII. Suction apparatus oxygen source and tubing
VIII. Disposable syringe xiv. Cotton tape
IX. Xylocaine jelly xv. scissor
X. Towel xvi. Rolled towel
XI. Sterile gloves and mask xvii. Induction agents as per
XII. Ambu bag and mask physicians order .
XIII. Stethoscope
13.
14. Explain the procedure to the patients and family.
Assemble and prepare all the equipments needed.
Assemble laryngoscope and ensure that light is bright.
Place the ET tube in a sterile field.
Lubricate the distal end of the tube with xylocaine jelly.
Insert the stylet into the ET tube
Ensure that all the equipments are in working condition.
Asses the loose teeth/dentures/foreign body in throat ;if so remove with
magill’s forceps.
Position the patient with head and slightly elevated at 10 ;remove the
headboard if possible and needed . Place the rolled towel under the neck .
Administer premedications (induction agents) as per order.
Spray the anesthetic medicine in the throat if needed
15. Apply suction to the oral cavity.
Provide laryngoscope to doctor.
Hold laryngoscope in the left hand and insert the blade along the right side of
the tongue ;with the right thumb and index finger ;pull lower lip away from
the patient’s lower teeth.
Lift the laryngoscope upwards and forward at 45 .
After visualizing the vocal cords ,insert the ET into the right side while
continuously visualizing the vocal cards .
Insert the tube slowly ,gradually and downward till it reaches beyond the
cords.
Once it reaches beyond the cords , remove laryngoscope and withdraw
stylet, the tube when inserted should have 22 mm marking at the incisor
teeth.
Confirm the correct position of the tube by
BILATERAL CHEST MOVEMENTS
AUSCULTATION OF CHEST
16. Attach the ambu bag with the oxygen
connection to ET tube and continue the
bagging to ventilate.
Inflate the cuff with 10 ml of air.
Insert the oral airway and apply suctioning if
necessary.
Secure the tube in place with adhesive tube.
Ensure the chest x ray is taken.
17. Never leave the patient alone.
Provide a comfortable position.
Watch and maintain an open airway.
Remove the secretions by effective suctioning.
Prevent displacement of tube.
Watch for complications such as laryngeal, oedema, tracheal
stenosis, heamorrhage.
Provide for the humidification of air by boiling a kettle of
water in the patient’s unit.
Prevent infection introduced into the lungs.
Prevent contamination of inhaled air,
Maintain oral hygiene.
Maintain adequate nutrition of the patient by naso gastric
feeding or by giving IV fluids. They should never be fed an
oral feeds as long as tube is in the mouth.
18. It includes the following
a. Date and time of intubation.
b. Pre procedure assessment.
c. Et tube type and size.
d. Cuff pressure
e. Condition during and post procedure.
f. Follow up.