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In the acute setting, indications for tracheotomy are similar to those for cricothyrotomy. In the chronic setting, indications for tracheotomy include the need for long-term mechanical ventilation and removal of tracheal secretions (e.g., comatose patients, or extensive surgery involving the head and neck). [62] [63]
A RSBI score of less than 65 [3] indicating a relatively low respiratory rate compared to tidal volume is generally considered as an indication of weaning readiness. A patient with a rapid shallow breathing index (RSBI) of less than 105 has an approximately 80% chance of being successfully extubated, whereas an RSBI of greater than 105 virtually guarantees weaning failure. [4]
An unplanned extubation occurs when a patient is on mechanical ventilation and their endotracheal tube is removed when it was not supposed to be. If the patient themselves intentionally removes their own tube, this is known as self-extubation or deliberate unplanned extubation, whereas if the tube is removed by health professionals, or a patient removes it by accident, it is referred to as ...
Intubation (sometimes entubation) is a medical procedure involving the insertion of a tube into the body.Most commonly, intubation refers to tracheal intubation, a procedure during which an endotracheal tube is inserted into the trachea to support patient ventilation.
The primary indication for a resuscitative thoracotomy is a patient with penetrating chest trauma who has entered or is about to enter cardiac arrest. [4] Other indications for the use of this procedure include the appearance of blood from a chest tube that returns more than 1500 mL of blood during the first hour of placement, or ≥200 mL of ...
A cricothyrotomy (also called cricothyroidotomy or laryngotomy) is an incision made through the skin and cricothyroid membrane to establish a patient airway during certain life-threatening situations, such as airway obstruction by a foreign body, angioedema, or massive facial trauma.
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In anaesthesia and advanced airway management, rapid sequence induction (RSI) – also referred to as rapid sequence intubation or as rapid sequence induction and intubation (RSII) or as crash induction [1] – is a special process for endotracheal intubation that is used where the patient is at a high risk of pulmonary aspiration.