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The removal of an endotracheal tube is called extubation. It is a procedure performed once a patient no longer requires mechanical ventilation and is able to breathe on their own. It is done carefully to prevent complications such as airway obstruction or respiratory distress.
Indications include airway maintenance, airway suctioning, and preventing biting of an endotracheal tube. These are almost always used in unconscious patients. Contraindications include a conscious patient, a foreign object blocking the airway, and a present gag reflex.
Airway adjunct that is a plastic tube with a flange on the end passed through the nostrils into your airway, so you can be ventilated if you have stopped breathing and access is limited via the mouth, for example in facial trauma. The nasopharyngeal airway is used if there are complications to having a patent airway.
endotracheal
"Endotracheal" refers to something located or occurring inside the trachea, which is the windpipe that carries air to and from the lungs. An endotracheal tube is a flexible plastic tube inserted through the mouth or nose into the trachea to help maintain an open airway or to provide mechanical ventilation.
High pressure alarm on a ventilator can be caused by factors such as kinked tubing, secretions blocking the airway, patient coughing or biting on the endotracheal tube, or increased resistance in the airway due to bronchospasm. It can also be triggered by the ventilator delivering too much volume or pressure to the patient.
Either an oropharyngeal tube or an endotracheal tube if available and you have the training, otherwise use the 'head tilt, chin lift' method to sustain the airway.
Suction lumen, Balloon, delivery lumen, airway suction port, gas delivery port
lubricate the outside of the tube with a water-based lubricant
An Esophageal Tracheal Combitube (ETC) is a dual-lumen airway device used for emergency airway management. It has two tubes; one goes into the trachea and the other into the esophagus, allowing ventilation even if the tracheal tube is misplaced. The ETC can be used in situations where intubation is difficult or when a standard endotracheal tube is not suitable.
Intubation. This refers specifically to an endotracheal (ET) tube. Some smaller or more temporary tubes that do not go down so deep may be used as well. Intubation generally does not refer to these, but to ET tubes only.
A combitube is a duel cuffed endotracheal airway used for blind endotracheal intubation. This item is usually used in the prehospital setting. The simplicity of placement is the main advantage of the combitube over endotracheal intubation. When intubating with a traditional endotracheal tube, care must be taken to ensure that the tube has been placed in the trachea, and not the esophagus. The dual-lumen design of the combitube allows for ventilation to proceed regardless of where the tube ends up. If the tube is placed into the esophagus, ventilation is provided through one tube, and if it winds up in the trachea, ventilation is provided through the other tube.