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Doctor insights on: Intubation And Extubation

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If you have had stridor after extubation is your chances of it happening again increased?

If you have had stridor after extubation is your chances of it happening again increased?

Quite common: Laryngeal edema is common cause of airway obstruction
after extubation in intensive care patients and is thought to
arise from direct mechanical trauma to larynx by the
endotracheal tube. Sometimes edema associated with difficult intubation. If anatomy different, and intubation continues to be difficult, can have recurrent laryngeal edema. ...Read more

Dr. Norman Cohen
118 doctors shared insights

Intubation (Definition)

It is the insertion of a tube into the trachea to maintain a secure airway. This is essential ...Read more


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Ventilated pneumonia patient needs antipsychotic med's before extubating. How to make med's work quicker than 2 wks? Agitation prevents extubation.

No definite answer: Many critically ill patients suffer from delirium. The exact cause of this ICU delirium is not understood, at times metabolic problems such as kidney or liver failure, or side effects from other medications play an important role, but sometimes no cause is identified. In that situation a number of drugs can be tried, including antipsychotics, but there is no definite evidence of any specific rx. ...Read more

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My 83 year old uncle case of ca prostrate on chemo, ild developed co2 narcosis. Currently on ventilator. Is bipap useful after extubation for narcosis?

My 83 year old uncle case of ca prostrate on chemo, ild developed co2 narcosis. Currently on ventilator. Is bipap useful after extubation for narcosis?

See below: It is a useful aid to prevent intubation and ventilation in cases where the patient is very sedated. However, I would not use it as a bridge going the other way. I would allow the narcotics to clear before extubating your uncle. ...Read more

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What is partial intubation?

What is partial intubation?

Never heard of it: I have done aneswthesia for 38 years in many hospitals and never heard the term. Dr r is probably right but it could also be that the tracheal tube was partially in. Just to be clear, "when he says " this is less invasive...." he means the lma not the subject fo the previous sentance. ...Read more

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What is fiberoptic intubation and how is it done?

What is fiberoptic intubation and how is it done?

Carefully!: Intubation is the insertion of a breathing tube into the windpipe (trachea). Usually it is done through the mouth with an instrument called a laryngoscope. Sometimes it is necessary to use a fiberoptic bronchoscope, either through the nose or the mouth. The area will be numbed. The fiberoptic scope is used to get a good view of the vocal cords, then the breathing tube is advanced into the airway. ...Read more

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Is tracheal intubation done when awake?

Is tracheal intubation done when awake?

Could be done: Tracheal intubation in usually done after patient is asleep, but in some circumstances it may be required to be done awake for patient saftey
examples
anticipated difficult intubation/mask ventilation
unstable neck/fracture cervical spine with cord compression. ...Read more

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What's the phaphophysiology intubation?

What's the phaphophysiology intubation?

General endotracheal: Intubation involves placing a tube through the mouth and passing it beyond the vocal cords. There are many methods of achieving this. It is typically done on a sedated or obtunded patient, so there is no awareness. ...Read more

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Laryngoscopy intubation--are you out for it?

Usually: Usually you are "out" for this procedure or heavily sedated, depending on what is required to be done afterwards. ...Read more

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Can intubation cause damage to the vocal chords?

Yes: Endotracheal intubation involves placing a breathing tube into your mouth and passing it between your vocal cords. It is not uncommon to have hoarseness and a sore throat that lasts 24-48 hours. Longer term injuries are possible but unusual. ...Read more

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What exactly does fiberopoptic intubation anesthesia feel like?

Not too bad: If you are asking this question, I imagine you have been told by an anesthesiologist to expect an "awake, fiberoptic intubation" due to concerns with your airway. Even though you will be awake enough to keep breathing and avoid choking, most "awake" fiberoptic intubations are done with moderate sedation. You will also be numbed along the path of the breathing tube. Some coughing may be the worst. ...Read more

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What would cause a patient to bite down hard during intubation?

That would: Probably be an emergency forced intubation. An intubation for general anesthesia will involve a muscle relaxant and a nerve stimulator after a dose of Propofol that that is effective immediately ...Read more

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How can intubation be measured?

It is confirmed : By visualization, appropriate breath sounds, measured end tidal co2 and stable oxygen levels. It can also be confirmed by chest x-ray or other scan. ...Read more

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What is rapid sequence intubation?

Intubating fast: Rapid sequence intubation is done to minimize aspiration of gastric contents in to the lung.
When we preoxygenate a patient have suction ready and give induction agent like Propofol or etomidate and musclerelaxant and succnylcholine(anectine) rapidly while cricoid pressure on neck is maintained and the intubate in 45 seconds. ...Read more

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Is intubation painful when its happening?

Is intubation painful when its happening?

Usually no: For most patients, endotracheal intubation is done once the patient is asleep.

In some circumstances, it maybe necessary to perform with awake with local anesthetics and mild sedation. ...Read more

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What exactly is transtracheal intubation?

Via the trachea: When placing a tube in the trachea to help a patient breathe and protect their lungs from gastric content is not possible or practical, an incision is made right beneath the voice box into the what is the called the cricoid membrane through which a tube can be inserted directly into the trachea and help the patient breathe. ...Read more

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Why do they do awake intubations? How's it done?

Why do they do awake intubations? How's it done?

Depens (penicillamine) on reason: Intubations are normally done when you have received sedation and paralysis. Ones done when you are awake are normally emergent when you are in respiratory distress. ...Read more

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I was wondering what are the purposes of intubation?

Many: Intubation refers to a procedure whereby an anesthesiologist or other qualified healthcare provider inserts a breathing tube into the lungs. This can be performed during surgery that requires general anesthesia. Intubation may also be performed in emergency situations if patients are unable to maintain spontaneous respirations. Patients in the intensive care unit may also require intubation. ...Read more

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What is the definition or description of: intubation?

Airway Maintenance : It is the insertion of a tube into the trachea to maintain a secure airway. This is essential for safe general anaesthesia. ...Read more

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Which drugs are given during rapid sequence intubation?

Which drugs are given during rapid sequence intubation?

Propofol,anectine: Rapid sequence induction means patient has full stomach. We give induction agent like Propofol or etomidate and Anectine rapidly to intubate a patient. ...Read more

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My vocal range has diminished 3 years post intubation. Is there anything I can do?

My vocal range has diminished 3 years post intubation. Is there anything I can do?

See an ENT doctor: It is possible that as a result of being intubated, your vocal cords may have been affected even though it is a rare complication. The surgery you underwent could also affect the nerves innervating your vocal cords. See an Ear Nose and Throat doctor and be evaluated. ...Read more

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How can nasal intubation work?

How can nasal intubation work?

Very well!: Sometimes a breathing tube needs to be placed through the nose when surgery is done on the jaw or facial bones, for example. The tube is gently introduced through the nose down into the windpipe (trachea) to help the pt breathe during surgery. It works the same way as a tube put in via the mouth to provide an airway for a pt under anesthesia. ...Read more

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Can paralysis happen during intubation?

Only in rare cases: Intubation involves using an instrument (called a laryngoscope) to help the health care provider see the vocal cords and trachea. If the patient has an unstable spine in his neck, perhaps from an auto accident, etc, there is a very remote chance that using the laryngoscopes could put strain in the pine and damage the spinal cord. Anesthesiologists are trained how to intubate all patients safely. ...Read more

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How does nasal intubation work exactly?

How does nasal intubation work exactly?

Tube in nose : The endotracheal tube is put in through the nose instead of through the mouth. This is done in cases where the surgery being performed would be hindered by having a tube in the mouth. The anesthesiologist decongests the nose vigorously and uses a smaller tube to avoid trauma and bleeding. ...Read more

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Father won't wake up following intubation?

Depends why intubatd: If he was awake prior to intubation, he was probably given sedatives or anesthetics for the procedure. These may last a 1-3 hours in some patients and then he should wake up. However, they may be giving him sedatives while intubated to allow him to rest. If he was intubated because he was already unconscious, whatever is causing the unconscious condition must be corrected for him to wake up. ...Read more

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What is dosage of propofol for intubation?

Variable: Multiple factors contribute to the optimal dose such as patient comorbidities, weight and drug tolerance. The dose can be calculated as 1-2.5 mg/kg given as 40mg every 10 seconds until induction. ...Read more