Page 199 - Clinical Application of Mechanical Ventilation
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Airway Management in Mechanical Ventilation 165
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Figure 6-11 Anatomy of the upper airway as viewed with a laryngoscope in place.
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Figure 6-12 Anatomical structures seen during direct laryngoscopy.
Table 6-6 outlines some problems that may be encountered during an intubation
attempt. The potential cause and solution to each problem are provided.
Signs of Endotracheal Intubation
Rising SpO 2 , presence After intubation and inflation of the cuff, correct placement of the ET tube in the
of bilateral breath sounds,
airflow, condensations on trachea must be checked immediately. If the patient is breathing spontaneously, bilat-
ET tube, and detection of eral breath sounds should be heard. Speech will not be possible since the vocal cords
CO 2 are signs of successful ET
intubation. are bypassed by the ET tube and no longer receive airflow for making sound. In
addition, airflow may be felt over the ET tube opening. With adequate ventilation
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