Page 14 - Clinical Application of Mechanical Ventilation

XII Contents

Esophageal-Tracheal Combitube (ETC) 139
Insertion and Use of ETC 139
Complications of ETC 140
Double-Lumen Endobronchial Tube (DLT) 140
Indications 141
Selection of DLT 142
Insertion of DLT 142
Complications of DLT 143
Summary 144
Self-Assessment Questions 144
Answers to Self-Assessment Questions 146
References 146
Additional Resources 149

Chapter 6: airway ManageMent in MeChaniCal Ventilation

Introduction 151
Intubation 152
Indications 153
Common Artificial Airways in Mechanical Ventilation 154
Endotracheal Tube 154
Tracheostomy Tube 155
Specialty Tracheostomy Devices 155
Intubation Procedure 156
Preintubation Assessment and Signs of Difficult Airway 156
Supplies 157
Special Visualization Devices 161
Selection of Endotracheal Tube 162
Ventilation and Oxygenation 162
Oral Intubation 163
Nasal Intubation 163
Common Errors 163
Signs of Endotracheal Intubation 165
Signs of Esophageal Intubation 167
Rapid Sequence Intubation 168
Indications and Contraindications 168
Practice Guidelines 168
Management of Endotracheal and Tracheostomy Tubes 171
Securing Endotracheal and Tracheostomy Tubes 171
Cuff Pressure 171
Minimal Occlusion Volume and Minimal Leak Technique 172
Endotracheal Suctioning 173
Endotracheal Tube Changer 175
Speaking Valves 177
Contraindications 177
Safety Requirements 177

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