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Doctor insights on: Intubation Endotracheal Tube

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Why would someone's baby need an endotracheal tube?

Why would someone's baby need an endotracheal tube?

Respiratory Failure: Adequate oxygen exchange through the lungs is necessary for survival. In pregnancy, oxygen is passed thru the placenta & the lungs are not tested until after delivery. Babies can retain fluid in their lungs at birth, develop respiratory distress syndrome, pneumonia or sepsis. All may be so taxing on the newborns system that they will not survive without supplemental oxygen thru a tube. ...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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How will doctors know the endotracheal tube is in the right place in my baby?

How will doctors know the endotracheal tube is in the right place in my baby?

Listening / X-ray: The standard method of verifying tube placement includes listening to breath sides on both sides after placement.After securing the tube in place it is routine to have do an x-ray to verify the position. Occasionally, placing a gas monitor to verify exhaled co2 is used in some situations. ...Read more

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What are the risks of having an endotracheal tube inserted?

What are the risks of having an endotracheal tube inserted?

Risks: Risks of inserting endotracheal tube (et) include damaging vocal cords, teeth, or back of throat when using laryngoscope. Worse, the tube could accidentally be placed in the esophagus instead of the trachea, which results in hypoxia -- also potentially vomiting stomach contents into lungs. Placing et too deeply might ventilate only one lung -- possibly resulting in pneumothorax and hypoxia. ...Read more

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In which part of the bronchus is endotracheal tube inserted?

In which part of the bronchus is endotracheal tube inserted?

Mainstem: An endotracheal tube is inserted down the throat, sometimes down the nose, but always into the mainstem bronchus and above the carina or the point at which the mainstem bronchus branches in to those branches that head on towards the right and left lungs. ...Read more

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What happens when the endotracheal tube is inserted in a preemie?

What happens when the endotracheal tube is inserted in a preemie?

We miss something ??: This insures an adequate airway and allows for delivery of oxygen and or medications to a baby who is not breathing adequately on their own. Did you have some specific concern ? This site is not a chat room, so if there is another part of this question we have not addressed, please start over.Your questions are not linked, so each must have enough background info for us to go on. ...Read more

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Can paramedics insert an endotracheal tube en route to the hospital?

Can paramedics insert an endotracheal tube en route to the hospital?

Yes: Inserting endotracheal tubes is included in the paramedics' job description. Positioning needs to be checked, though, just as it does when a physician places it. ...Read more

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Will the person be awake with an endotracheal tube in his throat?

Will the person be awake with an endotracheal  tube in his throat?

No: In most cases, the tube goes in after you are asleep and comes out as you are waking up. If there is a reason for an awake intubation or prolonged intubation after surgery, your anesthesiologist should discuss it with you ahead of time. ...Read more

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Can I have a endotracheal tube inserted while completely awake for nose job to protect airway if i want? Getting nose job done under local anesthesia

Can I have a endotracheal tube inserted while completely awake for nose job to protect airway if i want? Getting nose job done under local anesthesia

Endotracheal tube: Endotracheal tube cannot be inserted when you're fully awake because you would not be able to tolerate anything down your airways without coughing and laryngospasm (spasm of your voicebox). Only when the muscles are paralyzed by anesthetic or when you are out of it due to a respiratory distress you can have endotracheal tube placed. ...Read more

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Do I need an endotracheal tube anesthesia for a penis biopsy?

Do I need an endotracheal tube anesthesia for a penis biopsy?

No: This procedure can be done with light sedation and local anesthesia . Talk to your anesthesiologist about the operation before surgery. ...Read more

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What is the process of endotracheal intubation like?

Most patients asleep: Putting a breathing tube into a patient's airway is not comfortable--think how irritating it is when even a drop of liquid goes down the wrong way! most of the time, this is done after a patient is already asleep under anesthesia. Occasionally, local anesthesia is used to numb the airway if intubation needs to be done with the patient awake for special circumstances such as neck injury. ...Read more

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C sectioning: epidural or endotracheal intubation?

Depends on situation: In an emergency situation where the baby may be in distress, general anesthesia with intubation is often the fastest and most reliable choice. For an elective or less urgent csection, epidural or spinal anesthesia is preferred. Less medication reaches the baby, and the mother can be awake to see her baby right away. Talk to your anesthesiologist about anesthesia options for labor and delivery. ...Read more

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Worried concerning endotracheal intubation. What if I have tmd?

Don't worry too much: If you need endotracheal intubation for general anesthesia, in order to under a surgical procedure, you should tell your anesthesiologist about your tmd. Your anesthesiologist should be able to modify the technique of intubation to minimize the risk of additional injury to your jaw joints. But if you really need surgery, then you will need to be intubated, regardless of your tmd, which may flare. ...Read more

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Whats the difference between a tracheostomy and endotracheal intubation?

Whats the difference between a tracheostomy and endotracheal intubation?

An incision: Endotracheal intubation is usually done through the mouth and sometimes through the nose. Tracheostomy involves an incision through the neck into the trachea. ...Read more

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Endotracheal intubation question? Can they do it while awake?

Yes: It is done awake for specific reasons, these may include disrupted(broken) neck, such as related to trauma; anatomic, full stomach, need to neurologically assess after airway manipulation(such as make occur in c-spine surgery). Important technique for anesthesiologist to be comfortable with, patient is typically sedated and comfortable during procedure. ...Read more

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What is the definition or description of: endotracheal intubation?

Maintain an Airway: A procedure that ensures openness, protection and the certainty of oxygen delivery to the lungs by placing a tube into a patient's windpipe (trachea). ...Read more

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What is the resident's role in assisting with endotracheal intubation?

Supervised: A resident typically handles the entire endotracheal intubation process under the supervision of an attending physician. ...Read more

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Can anaphylaxis cause problems for me in endotracheal intubation?

Yes: Anaphylaxis in any situation can lead to rapid cardiovascular deterioration and death. If there are certain anesthetics or sedatives that cause anaphylaxis, you should make sure your doctors know before the need for intubation arises. ...Read more

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What is the process of endotracheal intubation like for the preemie?

Preemie intubation: Preemies are intubated with an endotracheal tube whose size is based on the baby's body weight. They are awake and sometimes receive some sedation when placed on a ventilator. If the intubation is just for surfactant administration and then the tube is removed they are not usually sedated. ...Read more

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What equipment do crnas assemble for endotracheal intubation?

What equipment do crnas assemble for endotracheal intubation?

Depends on situation: Intubation by an anesthesiologist or nurse anesthetist is always done with careful preparation: suction equipment, a laryngoscope, different sizes of breathing tubes. Sometimes a fiberoptic scope or other advanced airway equipment is necessary. Anesthesia training prepares the team to assess the patient's airway and have all the proper equipment necessary for safe care. ...Read more

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General anesthesia/endotracheal intubation--what do they do if asthma?

General anesthesia/endotracheal intubation--what do they do if asthma?

Pretty safe: Before any asthmatic undergoes surgery and intubation, there asthma should be under excellent control. If one's asthma is not under control, unless it is an emergency surgery, most surgeons and anesthesiologists would probably defer surgery until later. ...Read more

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Could intubation of a patient during resuscitation initiate an asthma attack by the presence of the tube?

Could intubation of a patient during resuscitation initiate an asthma attack by the presence of the tube?

Yes: An asthmatic patient has by definition an irritable airway and any irritation of the airway like being intubated can certainly trigger an asthmatic attack. Appropriate treatment is however available if and when such an attack occurs. ...Read more

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Why aren't silver-coated endotracheal tubes typically used?

Why aren't silver-coated endotracheal tubes typically used?

Interesting idea: But, the endotracheal/bronchial environment is different from the endovascular one. I have never heard of the et tube being colonized and the source of hosp-acq / vent-acq pna or other resp problems--it is usually within the vent circuit (so maybe line that with silver). Also, I have not seen any studies as yet to see what, if any, benefit the silver tube might have over plain. ...Read more

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Why do they do awake intubations? Hows it done?

Why do they do awake intubations? Hows 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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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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I'm not sure but is intubation during bradycardia normal?

No: Bradycardia in itself is not treated by intubation. However, incubation may become necessary to protect the airway or ensure ventilation in extreme cases. ...Read more

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Any one experienced mild shortness of breath after intubation?

Any one experienced mild shortness of breath after intubation?

Depends why!: Nobody gets intubated without a reason. Was it for surgery? Abdominal surgery can compress the lung bases, which then must reexpand. There are many reasons for shortness of breath. Intubation is done to support ventilation and treat inability to breathe; it does not cause shortness of breath. Muscle relaxants used during surgery may cause mild shortness of breath while wearing off. ...Read more

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What is the physiology between intubation and decreased blood pressure?

Usually: It is the result of the medication given to drift you off to sleep to facilitate the intubation. They are vasodialators as well as amnestic anesthetics. The drop in BP is usually very transient and harmless. ...Read more