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152    Chapter 6


                      INTUBATION



                                            Endotracheal (ET) intubation is the placement of an ET tube inside the trachea
                          The surgical procedure   through the mouth or nostril. It is estimated that 15 million patients undergo ET
                        that creates an opening at the
                        trachea is called tracheotomy.  intubation annually (Coppolo et al., 1990).
                                             ET intubation is a simpler procedure than tracheotomy—a surgical procedure
                                            that  creates  an  airway  opening  by  cutting  into  the  trachea.  Compared  to  an
                      tracheostomy tube: An artificial   ET tube (Figure 6-1), a tracheostomy tube (Figure 6-2) is much shorter and it
                      airway inside the trachea that is
                      inserted through a surgical open-
                      ing at the trachea.














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                                            Figure 6-1  Two adult endotracheal tubes (8.0 mm ID). Note that one’s cuff is inflated and the 
                                            other’s is not. Also note the markings visible on the tubes.

























                                                                                                       © Cengage Learning 2014






                                            Figure 6-2  An adult tracheostomy tube with a disposable inner cannula that may be 
                                            replaced as required to maintain patency.






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