Endotracheal intubation involves placing a flexible plastic tube into the trachea to maintain an open airway or administer drugs. It is used to administer oxygen, remove secretions, ventilate the lungs, and treat respiratory failure. Indications include CNS depression, neuromuscular disease, chest injuries, airway obstruction, and aspiration risk. The procedure requires a laryngoscope, ET tube, suction equipment, and securing the tube once placed to ventilate the lungs. Complications can include injury and intubation in the wrong airway.

1. ENDOTRACHEALENDOTRACHEAL
INTUBATIONINTUBATION
PRESENTED BY
1Year MSc Nursing
Lourdes college of Nursing
Ernakulum

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

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

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

6. Cont..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 plainDifferent sizes of cuffed and plain
ET TubesET Tubes

8. LARYNGEOSCOPELARYNGEOSCOPE

9. MAGILL’S FORCEPSMAGILL’S FORCEPS

10. SYRINGE TO INFLATE CUFFSYRINGE TO INFLATE CUFF

11. SUCTION APPARATUSSUCTION APPARATUS

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

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

15. PROCEDUREPROCEDURE
 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..Procedure cont..

17. Procedure cont..Procedure cont..

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

19. Cont..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 TubeStabilizing ET Tube

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

22. ENDO TRACHEAL TUBE INENDO TRACHEAL TUBE IN
PLACEPLACE

23. POST PROCEDURE CAREPOST PROCEDURE CARE
Place the patient in lateral position
Arrange for chest X-ray in order to
check placement of ET Tube
Apply endotracheal suctioning as needed.
Watch for chest movements,ET Tube
kinking, obstruction,leakage of tube cuff
and over inflation of cuff

24. COMPLICATIONSCOMPLICATIONS
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