Endotracheal

Intubation
Dr. Carla O. Pandrya, SpAn
Fakultas Kedokteran
Universitas Pelita harapan

Tracheal intubation
INDICATIONS:
O Airway protection
O Needs for mechanical ventilation
O Operation procedure

FOR AIRWAY PROTECTION:

O Loss of gag reflex eg severe head

injury
O Airway obstruction eg acute
laryngeal edema (inhalational burn,
epiglotitis, etc)
O Anticipated loss control of the airway
eg anticipated laryngeal edema
(neck trauma)

INDICATIONS FOR MECHANICAL

VENTILATION:
O Ventilation failure
O Loss of ventilatory drive: stroke,
O
O
O
O

brain injury
Spinal cord injury
Myastenia gravis
Flail chest, obesity
Acute lung injury

O Oxygenation failure
O Ventilation perfusion mismatch

(pulmonary embolism, emphysema)

O Inability to extract at cellular level
(severe sepsis, cyanide or CO
poisoning)

ANATOMY

HOW TO INTUBATE
Laryngoscope held with left hand
Open patients mouth insert blade to right side of
oropharynx
The tongue swept to the left and up into the floor of
pharynx by the blade
The tip of curved blade is usually inserted to
vallecula, while straight blade to cover epiglottis
The handle of the blade then raised up and away
from the patient in a plane that perpendicular to
patients mandibule

MALLAMPATI
CLASSIFICATION
O is used to predict

the ease of
intubation

References
O Clinical anesthesiology : Edward

Morgan Jr. (Lange)

O Clinical anesthesiology : Barrash

THANK YOU