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Dr.

Ganda Sibabiat, SpAn, KIC

Indications: Endotracheal Intubation


Respiratory Failure: Hypoxia, Hypercapnia, tachypnea, or apnea ; ie. ARDS, asthma, pulmonary edema, infection, COPD exacerbation Inability to ventilate unconscious patient

Maintenance or protection of an intact airway


Cardiac Arrest Medication administration

Contraindications:
Inability of patient to extend head

Moderate to severe trauma to the cervical spine or anterior neck


Infection in the epiglottal area

Mandibular fracture or trismus


Mild hypoxia Uncontrolled oropharyngeal hemorrhage Intact tracheostomy

Equipment
Laryngoscope

Blades: curved (MacIntosh) and straight (Miller) Endotracheal tubes of various sizes:
Neonates and full term infants: no. 0 and 1 Adult women: 7.0 mm i.d. tube Adult men: 8.0 to 8.5 mm i.d. Tube Pediatric size: (age in years/4) + 4 or width of fingernail of the fifth digit

Continue Equipment for ET intubation: Lubricant 10-ml syringe (to inflate ET cuff) Oxygen and manual bag valve mask Suction apparatus Stethoscope Sterile gloves and goggles Oropharyngeal airway Pulse oxymetry

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