Today our topic of discussion is Equipment Used for Endotracheal Intubation .
Equipment Used for Endotracheal Intubation
Equipment Used for Endotracheal Intubation: Implementation Phase (Fig. 29.12)
Ensure that client is properly oxygenated using manual resuscitator with 100% oxygen
Administer medications as ordered.
Check equipment
Use syringe to inflate tube cuff (Fig. 29.12). Check for uniform inflation and leaks before use Check laryngoscope batteries and light by attaching proper sized blade If using stylet, lubricate entire length and insert into endotracheal tube.
Make sure tip of stylet does not extend beyond tip of endotracheal tube. Remove client’s dentures or partial plates if applicable Hyperextend client’s neck or place client’s head in brandy sniffing position.
Open client’s mouth using crossed finger technique if necessary. Spray posterior pharynx with topical anesthetic. Suction mouth and pharynx if necessary. Hold laryngoscope in left hand. Insert blade into right side of client’s mouth, moving to center of mouth to displace tongue.
Advance blade until epiglottis is visualized. If straight blade is used, advance blade past epiglottis. If curved blade is used, position tip of blade anterior to epiglottis in the vallecula. Lift laryngoscope to a 45° angle. Do not use the teeth as pivot.If oral intubations will be used, insert endotracheal tube through mouth into larynx between vocal cords (Fig. 29.13).
Advance tube until cuff disappears behind vocal cords. If nasal intubations will be used, insert endotracheal tube through nares into the pharynx. Forceps may now be used to guide tube between vocal cords and into.
Ventilate client with manual resuscitator and 100% oxygen. Auscultate chest during ventilation. Suction endotracheal tube is necessary Secure tube with adhesive tape. Before applying tape, wipe client’s cheeks with alcohol and benzoin Obtain chest film.
Connect client to oxygen using Briggs adapter or to mechanical ventilator Check cuff inflation using pneumometer. Pressure should not exceed 25 cm. Record pressure and volume of air required to maintain seal.