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An endotracheal tube is a specific type of tracheal tube that is nearly always inserted through the mouth (orotracheal) or nose (nasotracheal). A tracheostomy tube is another type of tracheal tube; this 50–75-millimetre-long (2.0–3.0 in) curved metal or plastic tube may be inserted into a tracheostomy stoma (following a tracheotomy ) to ...
An endotracheal tube should then be placed in order to prevent airway compromise from resulting inflammation after the procedure. [6] If the foreign body cannot be visualized, intubation, tracheotomy, or needle cricothyrotomy can be done to restore an airway for patients who have become unresponsive due to airway compromise. [2]
Patients with a poor ability to clear their airway of secretions are at an increased risk of pulmonary aspiration. [4] This includes patients with pulmonary disease resulting in a weak cough, or poor forced expiratory volume. Any condition requiring mechanical ventilation is also at risk for aspiration.
The size is chosen based on the patient's body size, with the smaller sizes being used for infants and children. Most endotracheal tubes have an inflatable cuff to seal the tracheobronchial tree against leakage of respiratory gases and pulmonary aspiration of gastric contents, blood, secretions, and other fluids.
Fibreoptic bronchoscopy can be applied via an endotracheal tube or tracheotomy in mechanically ventilated patients, or via the native airway in those not requiring ventilation. [13] Indications for bronchoscopy in critically ill patients can be broadly divided into diagnostic and therapeutic categories. [14]
Flexible bronchoscopy is often used to gather samples of bronchoalveolar lavage for quantitative bacteriological tests as well as high volume aspiration to clear the secretion. [25] In general practice The main treatment of aspiration pneumonia revolves around the use of antibiotics to remove the bacteria causing the infection. [ 1 ]
A Carlens double-lumen endotracheal tube, commonly used for thoracic surgical operations such as VATS lobectomy.. A double-lumen endotracheal tube (also called double-lumen endobronchial tube or DLT) is a type of endotracheal tube which is used in tracheal intubation during thoracic surgery and other medical conditions to achieve selective, one-sided ventilation of either the right or the left ...
In patients with known difficult airways, fiberoptic intubation can be considered. This technique involves the use of a flexible fiberoptic bronchoscope for visualization of the vocal cords. The bronchoscope can be passed directly into the trachea and the endotracheal tube can be threaded over the bronchoscope into position.