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Tracheal Intubation

Dr. Jalal Mohsin Uddin. MBBS, DTCD, FCPS (Pulmonology). National Institute of Diseases of Chest and Hospital. Introduction. Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea to maintain an open airway. It is frequently performed in critically injured, ill, or anesthetized patients to facilitate ventilation of the lungs and to prevent the possibility of asphyxia or airway obstruction. Commonly used route. The most widely used route is orotracheal, in which an endotracheal tube is passed through the mouth and vocal apparatus into the trachea. The tracheotomy, used primarily in situations where a prolonged need for airway support is anticipated. The following equipment may be needed for direct laryngoscopy: Intravenous access. Hemodynamic monitoring . Stethoscope. Pulse oximeter. End-tidal carbon dioxide (Et C O 2) monitor. Suction catheter attached to continuous suction. Cardiac arrest cart with resuscitation medications.  Rapid sequence intubation medications (paralytic, sedative and/or dissociative agent).  Defibrillator . Pre-oxygenation with Nasal cannula or high-flow nasal cannula (H F N C). Bag-valve mask with masks of various sizes. www.tblungseba.com