Tracheal Intubation Of Large Animals

Front 1

What are some reasons that we do tracheal intubation?

Back 1

-Provides a secure airway
-Facilitates administration of inhalation anesthesia
-Prevents aspiration of gastric or rumen contents
-Facilitates mechanical or manual ventilation

Front 2

What type of ET tube is used on sheep? Ponies?

Back 2

Cuffed tubes for sheep
Cole tubes for ponies - contacts larynx to provide a seal

Front 3

Pony or sheep?
Requires a laryngoscope and desenitization of the larynx for intubation

Back 3

Sheep

Front 4

Pony or sheep?
Intubation is performed blindly

Back 4

Pony

Front 5

During ET tube placement in a horse or pony, how should the head be positioned?

Back 5

Extend the head and neck

Front 6

How can you confirm that the ET tube is correctly placed?

Back 6

Exchange of gas through ET tube
Evacuated bulb
Steaming/clearing of the ET tube
Synchronous movement of the chest
Presence of CO2 in expired gas

Front 7

When can extubation be performed?

Back 7

When the animal can protect its airway

Front 8

How should you remove the ET tube if the animal has regurgitated?

Back 8

Lavage/swab/suction pharynx and extubate with cuff inflated if animal has regurgitated