This document discusses intubation, which is the insertion of a tube into the mouth or nose to maintain an open airway and enable ventilation. Intubation may be indicated to protect the airway during respiratory failure, loss of consciousness, or cardiac arrest, or to facilitate positive pressure ventilation or pulmonary toilet. The process of routine intubation involves preoxygenation, administration of induction agents and paralytics, laryngoscopy, tube insertion, and confirmation of proper placement.
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Intubation
This document discusses intubation, which is the insertion of a tube into the mouth or nose to maintain an open airway and enable ventilation. Intubation may be indicated to protect the airway during respiratory failure, loss of consciousness, or cardiac arrest, or to facilitate positive pressure ventilation or pulmonary toilet. The process of routine intubation involves preoxygenation, administration of induction agents and paralytics, laryngoscopy, tube insertion, and confirmation of proper placement.
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INTUBATION
Ibnu Firdiansyah Zayyad
DEFINITION Insertion of a tube into an external or internal orifice of the body Also called tracheal intubation May be performed through the mouth (endotracheal intubation) or through the nose (nasotracheal intubation) INDICATION Protection & maintenance of adequate airway: Upper airway obstruction Respiratory failure Loss of counsiousness Cardiac arrest Application of positive pressure Maintenance of adequate oxygenation Pulmonary toilet STATICS Scope : stethoscope laryngoscope Tube : kinking non kinking ETT Airway : oropharyngeal airway / Guedel Tapes : fixation of the ETT Introducer : stylet + Magill forceps Connector : knee Suction STEPS OF ROUTINE INTUBATION Preoxygenation Administration of induction agent Adequate mask ventilation Administration of neuromuscular blocking agent Laryngoscopy Insertion of the ETT Confirmation Thank you