Page 185 - Clinical Application of Mechanical Ventilation
P. 185
Airway Management in Mechanical Ventilation 151
Key Terms
carina rapid sequence intubation (RSI)
endotracheal tubes sniffing position
laryngoscope speaking valve
Macintosh blade stylet
Magill forceps tracheostomy tube
Mallampati classification unplanned extubation
Miller blade vagus nerve
pilot balloon vallecula
radiopaque vocal cords
Learning Objectives
After studying this chapter and completing the review questions, the learner
should be able to:
List the indications for intubation.
List the characteristics of an endotracheal tube and a tracheostomy tube.
Describe the method to select an endotracheal tube and the procedure for
oral and nasal intubation.
Name the signs of endotracheal and esophageal intubation.
Outline the methods to manage endotracheal and tracheostomy tubes.
Describe the method to monitor and manage the cuff pressure.
Describe the clinical use and safety requirements of speaking valves.
Outline the predictors of successful extubation and the procedures for
planned and unplanned extubation.
INTRODUCTION
In mechanical ventilation, artificial airways provide a vital link between the ven-
tilator and the patient. Two common artificial airways used in conjunction with
mechanical ventilators are the endotracheal (ET) and tracheostomy tubes. For these
airways to work properly and efficiently, they must be used and maintained cor-
rectly. This chapter provides a practical presentation on oral and nasal intubation,
suctioning, and extubation. Supplies commonly used for intubation and suctioning
are also included.
Copyright 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
