An endotracheal tube is a flexible plastic tube that is placed through the mouth into the trachea (windpipe) to help a patient breathe. The endotracheal tube is then connected to a ventilator, which delivers oxygen to the lungs. The process of inserting the tube is called endotracheal intubation.
What is the instrument used to intubate?
Intubation is normally facilitated by using a conventional laryngoscope, flexible fiberoptic bronchoscope, or video laryngoscope to identify the vocal cords and pass the tube between them into the trachea instead of into the esophagus.
What is the difference between endotracheal tube and tracheostomy tube?
An endotracheal tube is an example of an artificial airway. A tracheostomy is another type of artificial airway. The word intubation means to “insert a tube”.
What is the difference between the endotracheal tube and tracheostomy tube?
When do you use Macintosh or Miller?
The Macintosh is also thought to be less traumatic to the teeth and to provide more room for passage of the tracheal tube through the oropharynx. However, the Miller provides a better view of the glottis in a patient with a long, floppy epiglottis, or an anterior larynx.
How do you intubate with a Miller blade?
If using the Miller blade, then advance to the epiglottis and place the tip of your blade on the epiglottis. Then you sweep the tongue to the left and pull your blade towards your patient’s feet, lifting the epiglottis. Your Goal is just below the epiglottis.
What is better intubation or tracheostomy?
Tracheostomy is thought to provide several advantages over translaryngeal intubation in patients undergoing PMV, such as the promotion of oral hygiene and pulmonary toilet, improved patient comfort, decreased airway resistance, accelerated weaning from mechanical ventilation (MV) [4], the ability to transfer ventilator …
