A preterm neonate is intubated using a video laryngoscope. скачать в хорошем качестве

A preterm neonate is intubated using a video laryngoscope.

Intubation of a preterm neonate using a video laryngoscope is a medical procedure performed to secure the airway and provide mechanical ventilation in neonates who are unable to breathe adequately on their own. Video laryngoscopes are advanced devices that incorporate a camera and a light source to visualize the larynx and vocal cords, which can aid in the placement of an endotracheal tube during intubation. Please note that this is a complex medical procedure that should only be performed by trained medical professionals in a controlled clinical setting. Here is a general description of the steps involved in intubating a preterm neonate using a video laryngoscope: Preparation: Gather all necessary equipment, including the video laryngoscope, appropriate-sized endotracheal tubes, suction catheters, laryngoscope blades, mask ventilation equipment, and materials for securing the endotracheal tube. Patient Preparation: Place the preterm neonate in a warm, stable environment, such as an incubator or a radiant warmer, to maintain body temperature. Ensure the neonate is appropriately positioned, with the head in a neutral position and the neck slightly extended. Oxygenation and Pre-oxygenation: Administer supplemental oxygen to ensure the neonate is adequately oxygenated before intubation. Use a mask ventilation technique (bag-mask ventilation) to provide positive pressure ventilation if necessary. Preparation of Video Laryngoscope: Check the video laryngoscope for proper functioning, ensure the camera lens is clean, and adjust the monitor or screen for optimal visualisation. Oral and Nasal Suctioning: Clear the oral and nasal passages of any secretions or obstructions using a suction catheter. Laryngoscope Insertion: Insert the video laryngoscope blade gently into the neonate's mouth, avoiding trauma to delicate tissues. Visualise the larynx and vocal cords on the monitor or screen by advancing the laryngoscope carefully. Endotracheal Tube Placement: Once the larynx and vocal cords are visualised, carefully guide the endotracheal tube through the vocal cords and into the trachea. Confirm proper tube placement by observing chest rise with ventilation and detecting exhaled carbon dioxide using capnography. Securing the Endotracheal Tube: Secure the endotracheal tube to the neonate's face using adhesive tape or other appropriate securing devices. Confirmation and Stabilisation: Confirm the correct positioning of the endotracheal tube with chest X-ray or other confirmation methods as per local protocols. Stabilise the tube and assess for bilateral breath sounds and chest movement. Post-Intubation Care: Provide mechanical ventilation with appropriate settings to support the neonate's respiratory needs. Monitor the neonate closely for any signs of respiratory distress or complications. Documentation: Document all details of the intubation procedure, including tube size, depth of insertion, and any complications that may have occurred. Please remember that this is a general overview, and specific protocols and procedures may vary depending on the hospital and the neonate's individual medical needs. Intubation is a high-stakes procedure, and it should always be performed by experienced medical professionals in a controlled and monitored setting.