Nasal Endotracheal Intubation
- Introduction
As always, please feel free to pause the video and take notes as needed.
The purpose of this video is to provide a visual guide for the proper nasal endotracheal intubation
Hello, my name is [Nabil], and in this video, I will be demonstrating the procedure for nasal endotracheal intubation.
Endotracheal intubation is a medical procedure in which a tube is inserted through the nose into the trachea to secure an open airway and provide mechanical ventilation.
- Preparation
Before we start, let’s review some important precautions and equipment that we need for this procedure:
Make sure that the patient is properly positioned, with their head and neck in a neutral position and the spine in a straight line.
Gather all the necessary equipment, including gloves, lubricating jelly, a nasopharyngeal airway, and an endotracheal tube.
Additionally, we have the medications used for anesthesia induction and muscle paralysis, as well as the syringes and needles needed to administer them.”
III. Procedure
Patient positioning:
Proper patient positioning is crucial for successful intubation.
We will be placing the patient in a modified ramp position to optimize visualization of the larynx.
This involves slightly elevating the head of the bed and extending the patient’s neck or using a special pillow.
The patient’s head should be in a neutral position with the ears tragus in line with the sternum.”
Put on your gloves.
Lubricate the endotracheal tube and insert it gently through one of the patient’s nostrils and into the nasopharynx.
Pick up the laryngoscope handle with your dominant hand and the blade with your non-dominant hand.
Open the patient’s mouth and insert the blade along the floor of the mouth, pushing the tongue to the side to visualize the larynx.
Insert the endotracheal tube through the vocal cords and into the trachea by the help of Magill’s forceps.
Inflate the cuff of the endotracheal tube using a syringe to ensure that it is properly secured in the trachea.
- Verification
To confirm the correct placement of the endotracheal tube, listen for bilateral breath sounds and observe for chest rise and fall.
Additionally, you can check the end-tidal CO2 reading on the monitor.
- Conclusion
That’s it! Endotracheal intubation is a critical procedure for maintaining an open airway and providing mechanical ventilation to patients.
Always remember to follow all the necessary precautions and use the correct equipment to ensure a safe and successful intubation.
Thank you for watching and we hope you found this video helpful.
For any question, please visit: https://damsociety.com/