Intubation

"Complications: A Surgeon's Note on an Imperfect Science" is a collection of stories and personal essays written by Dr. Atul Gawande, a surgical resident. Gawande describes his experiences in the field, in learning and interpreting medical mysteries and facing uncertainties, and the philosophical questions he encounters from these experiences. In "Complications," Gawande lays out several ways in which medicine is imperfect and will continue to be imperfect. In Part I "How We Learn," Gawande…

drugs can be given intravenously. (Nguyen, et al., 2013). ● Ventricular tachycardia (VT) and fibrillation (VF), Catheter manipulation can cause VT, VF, and/or a systole resultant cardiac arrest. While the patient is being resuscitated with intubation, external cardiac massage, intra-aortic balloon pump (IABP), or pacemaker insertion, usually the blood pressure is sustained at threat level of 50–60 mmHg during cardiac pulmonary resuscitation (CPR) in a patient with a systole who shows no…

Introduction Propofol is a short-acting intravenous anesthetic drug with an excellent recovery profile having pharmacokinetic characteristics particularly suitable for continuous infusion [1,2]. Although propofol is commonly used for induction and maintenance of anesthesia in obese patients, little is known about its tolerated and effective dose in such patients [3]. Obese individuals have larger lean body and fat masses compared to non-obese of the same age, gender, and height. The altered…

Post intubation, the anesthetist used a 16-(NG) tube with lubrication for insertion. The (NG) tube was advanced far enough to be in the stomach, approximately 50 cm. Direct visualization confirmation was given by a surgeon when the (NG) tube appeared in the stomach…

In this study, a 74-year-old man with multiple chronic medical problems was hospitalized for respiratory distress. He experienced recurrent aspiration and required frequent suctioning and endotracheal intubation on several occasions. The patient was deemed competent and steadfastly refused feeding tube placement. The patient demanded that he be allowed to eat a normal diet despite being told that it could lead to his death. The patient wanted to go home, but there was no one there to care for…

debate revolves around the topic of death and dying. Do Not Resuscitate (DNR): a DNR order refers to prevent the following process in the event of a cardiac and/or respiratory arrest: chest compressions, defibriation, Endotracheal or laryngeal mask intubation or cardio tonic drugs and assisted ventilation The law in Jordan doesn't gives patients the right to make decisions about future medical care, Patients have the legal and moral right to accept or refuse medical treatments, including…

diagnosis of Acute Respiratory Distress Syndrome (ARDS). Suddenly, the patient’s oxygen saturation was dropped. Quickly, I administered bronchodilator and put comfortable position. Patient condition was deteriorating, so duty doctor took decision for intubation. A new Resident Doctor inserted endotracheal tube (ET) tube with guidance but unfortunately it went on wrong place (esophagus). Patient’s…

am to be prepped for surgery. I was very nervous. The nurse put an IV in my arm, it hurt when she did that. When it was time to go into surgery, they put medicine in my IV to make me go to sleep. After I was asleep, the anesthesiologist put an intubation tube in my throat. When I woke up from surgery, I was in the recovery room. I was still very drowsy but I didn’t feel any pain. I remember the smell of the anesthesia, that smell lasts a couple days. My head was wrapped in bandages and ice.…

skills, knowledge, and training of nursing students in hemodynamic monitoring of critically ill patients, medication titration and management, assisting physicians with specialized invasive procedures at the bedside such as chest tube placement, intubation, bronchoscopy, central line placement, ventilator weaning, organ donations, Burrholes Procedure, ICP monitoring and drains,etc.  Professional knowledge and skills in project planning, development, and implementation of systematic clinical…

The immediate concern for T.J are the ABC’s (airway,breathing, circulation) and preserving vital organ functioning (Silvestri, 2017). The priority nursing actions are to assess for airway patency, administer oxygen as prescribed to perfuse tissues and organs, obtain vital signs (as well as carboxyhemoglobin levels) to assess a baseline and compare subsequent vital signs once fluid resuscitation is initiated, initiate an IV line and begin fluid replacement as prescribed to prevent hypovolemic…