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10 Cards in this Set

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orotracheal intubation

Stabilize tube/confirm placement

:listen for equal and bilateral breath sounds as patient is being ventilated

:observe chest wall for adequate and equal chest expansion

:if ETT tube is in airway, chest CO2 levels begin to rise, seen on capnogram

During orotracheal intubation, make sure to visualize Tongue, vallecula, epiglottis, vocal cords, glottis, and arytenoid carlage

Visualizing intubation

Conventional battery operated laryngoscope



Fiberoptic bronchoscope

:also may be used for difficult intubations

Videoscope, fiberoptic laryngoscope

Optical camera attached to the end of the laryngoscope

:allows for video of the airway to be shown on a screen

:"glidescope" make intubations easy and safe

:very expensive

Capnometry: CO2 monitoring (brand name easy cap i and easy cap ii

Colormetric capnometry (used if intubating in the field by EMTs)

:For ETT tube placement

:CPR, to detect CO2 which shows if circulation is happening.

5% is normal exhaled CO2, which is desired so if your not totally yellow on colorimeter, not getting sufficient compressions.

End tital CO2 or PetCO2 is the most accurate for CO2 measurement because its the most enriched at the end of your breath

760-47= 713x .05 = 35torr which is the torr of CO2 at sea level expired at 5% CO2 so remember 35 torr is the pressure of CO2 exhaled at sea level 5%

If they exhale at 3.8% what torr would that be 27.094 torr

Endotracheal intubation Potential complications


:esophageal intubation

:Mouth, teeth, nose trauma

:R mainstem bronchus intubation

:Kinded ETT



:Vocal cord damage

:Tracheal stenosis


Endotracheal intubation indications

Maintain patent airway

Support mechanical ventilation

Need airway access

Orotracheal intubation to assess endotracheal tube position

Ausculation of chest and abdomen

Observation of chest movement

Tube length (cm to teech)

esophageal detection device

Light wand



Fiberoptic laryngoscopy or bronchoscopy


Extubation procedure

Assemble equipment

Towel, scissors, gloves, suction, O2 device, syringe

Explain procedure to patient

Preoxygenate patient, remove ETT tape

Suction oropharynx

Suction ETT

Extubation procedure

Insert catheter

:instruct patient to take a deep breath when instructed to

Deflate cuff and remove the tube swiftly

:Applying suction throughout withdrawl

Apply O2 auscultate lungs and neck for stridor

Check Spo2 instruct patient to DB and C (deep breath and cough)


Chapter 20 page 423 to 440