NAME:- aaqi

bmusht
aq
CLASS:- BSCnur
sing3rdy
ear
Rol
lno:- smcb-
17-
33
Submi
tt
edt
o:-mi
ssul
fatmam
{
Tut
orsmmcn&mt
}

ENDOTRACHEALI
NTUBATI
ON
Def
ini
ti
on:
-
Iti
samedi calprocedur
einwhichatubei
splacedi
ntothe
windpi
pe( t
rachea)thr
oughthemouthornose.I
nmost
emergencysituati
ons,i
tispl
acedthr
oughthemout
ht ofaci
l
itat
e
art
if
ici
alventi
lat
ionandresusci
tat
ion

PURPOSES:
-
 Totreatacuter
espi
rat
oryf
ail
ure,
per
sist
enthy
poxemi
aand
per
sistentr
isei
npco2

 Tomai
ntai
npat
entai
rway

 Toensur
eadequat
eoxy
genat
ion

 Topr
ovi
dev
ent
il
lat
oryassi
stancewheni
ndi
cat
ed
I
NDI
CATI
ONS:
-

 Cnsdepr
essi
on

 Neur
omuscul
ardi
sease

 Chestwal
li
njur
y

 Upperai
rwayobst
ruct
ion

 Anti
ci
patedupperai
rwayobst
ruction(edema,softti
ssue
swell
i
ngduet oheadandnecktrauma.Postoper
ativ
ehead
andnecksurger
ies,
decr
easedlevelofconsci
ousness)

 Aspi
rat
ionpr
ophy
laxi
s

 Fr
act
ureofcer
vical
ver
tebr
aeandspi
nal
cor
dinj
ury

ARTI
CLES:
-
 Sandbag/
towel
rol
l

 Suct
ionappar
atuswi
tht
ubi
ng

 Suct
ioncat
het
er

 Ambubagandmask

 Oxy
gensour
ceandt
ubi
ng

 Lar
yngoscopewi
thappr
opr
iat
esi
zebl
ade

 Magi
l
lsf
orceps

 Endot
racheal
tubesofappr
opr
iat
esi
ze
 St
il
ett
e

 Xy
locai
negel

 Di
sposabl
esy
ringe

 Or
alai
rway

 St
eri
l
egl
oves

 Facemask

PRE-
PROCEDURALSTEPS:
-
i
dent
if
ythepat
ient

expl
aint
hepr
ocedur
etot
hepat
ienti
fconsci
ousandget
consentf
rom pat
ientorr
elat
ives

pl
acepat
ienti
nsupi
neposi
ti
onwi
thheadext
endedby
keepi
ngsandbagort
owel
underneck

checkt
hev
ital
signsoft
hePat
ient

checkt
hel
ooset
eet
h/dent
uresorf
orei
gnbodyi
nthr
oat
,
ifsor
emov
ewi
thMagi
l
lsf
orceps

I
NTRA-
PROCEDURALSTEPS:
-
sealmout
handnosewi
thmaskandambubagand
i
nit
iat
ebaggi
ngwi
thoxy
gen

pr
ovi
del
ary
ngoscopet
odoct
or

suct
ionor
alcav
ity
pr
ovi
del
ubr
icat
edEndot
racheal
tubewi
thst
il
ett
ein
si
tu

pr
esscr
icot
hyr
oidcar
ti
lagewi
tht
humbandi
ndex
f
ingeragai
nstesophagus

Assi
stwhi
l
eendot
racheal
tubei
sint
roducedi
nto
tr
acheaandr
emovest
il
ett
e.Thet
ubewheninser
ted
shoul
dhavet
he22cm maki
ngatt
heinci
sort
eeth

Ver
if
ypl
acementoft
ubebyauscul
tat
ion,
li
steni
ng
feel
ingforai
rfl
owt
hrought
ubeandobser
vef
or
bil
ater
alchestmov
ements

ConnectAmbubagwi
thoxy
genat
tachedt
o
Endot
racheal
tubeandcont
inuebaggi
ng

I
nfl
atecuf
foft
heEndot
racheal
tubewi
th10ml
ofai
r

I
nser
tanor
alai
rwayandappl
yEndot
racheal
suct
ioni
ngi
fnecessar
y

Fi
xEndot
racheal
tubei
nposi
ti
onbyusi
ngadhesi
ve
t
ape

Connectt
ovent
il
atori
fneeded

POST-
PROCEDURALSTEPS:
-
 Pl
acepat
ienti
nlat
eral
posi
ti
on

 Arr
angeforchestx-
rayt
obetakeni
nor
dert
o
checkpl
acementofettube
  Appl
yEndot
racheal
suct
ioni
ngi
fsecr
eti
onsar
e
pr
esent

 Wat chforchestmovements,
ett
ubeki
nki
ng,
obstructi
onwithsecr
eti
onandbl
ood,l
eakageof
tubecuff,changeinposi
ti
onoft
ubeandover
i
nflati
onofcuff

 Documentt ypeandsizeoftubeused,chest
movement s, v
ital
signsandpati
entst
oler
ance
ofprocedure

 CheckABGper
iodi
cal
l
y

CONTRAI
NDI
CATI
ONS:
-
 Basal
skul
lfr
act
ureandCSFr
hinor
rhoea

 Bl
eedi
ngdi
sor
der

 Nasal
pol
yp,
for
eignbody

 Pr
evi
ousnasal
sur
ger
y

 Adenoi
ds

 Ret
rophar
yngeal
abscess

NURSESRESPONSI
BILI
TY:
-
 Ensurethattherequi
redoxy
gensuppor
t
i
ndicatedforthepati
enti
sprov
ided

 Assescl
i
entsrespi
rat
oryst
atusatl
eastev
ery2
hr
sorasindi
cated,
 Notethelungsoundsandpr
esenceof
secr
etions

 Assesnasal
andor
almucosaf
orr
ednessand
i
rri
tat
ion

 Communi
cat
efr
equent
lywi
tht
hecl
i
ent

 Suct
ionsecr
eti
onsor
all
ytopr
eventaspi
rat
ion

 Closelymonitorcuffpr
essur
e,mai
ntai
ninga
pressureof20t o25mmhgt omini
mizether
isk
oftrachealnecrosi
s

 Nut
ri
ti
onal
consi
der
ati
on