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Nasotracheal intubation carries a risk of dislodgement of adenoids and nasal bleeding. Despite the greater difficulty, nasotracheal intubation route is preferable to orotracheal intubation in children undergoing intensive care and requiring prolonged intubation because this route allows a more secure fixation of the tube.
The Macintosh blade remains to this day the most widely used laryngoscope blade for orotracheal intubation. [85] In 1949, Macintosh published a case report describing the novel use of a gum elastic urinary catheter as an endotracheal tube introducer to facilitate difficult tracheal intubation. [86]
Tracheal intubation, often simply referred to as intubation, is the placement of a flexible plastic or rubber endotracheal tube (ETT) into the trachea to maintain an open airway, allow for effective ventilation, protect the airway from aspiration (when a cuffed ETT is used), and to serve as a conduit through which to administer inhaled anesthetics.
Intubation (sometimes entubation) is a medical procedure involving the insertion of a tube into the body. Patients are generally anesthetized beforehand. Examples include tracheal intubation , and the balloon tamponade with a Sengstaken–Blakemore tube (a tube into the gastrointestinal tract ).
The procedure begins with orotracheal intubation using a laser-safe endotracheal tube. The eyes of the patient are padded and taped followed by draping of the head and application of upper tooth guard. [14] When the patient is anesthetized sufficiently and full relaxation is seen.
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 ...
In 1858, Bouchut developed a new technique for non-surgical orotracheal intubation to bypass obstruction of the larynx resulting from a diphtheria-related pseudomembrane. [1] His method involved introducing a small straight metal tube into the larynx, securing it by means of a silk thread and leaving it there for a few days until the ...
Surgical airway management is often performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated. Surgical airway management is also used when a person will need a mechanical ventilator for a longer period. Surgical methods for airway management include cricothyrotomy and tracheostomy.