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- Tracheal_intubation abstract "Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. It is frequently performed in critically injured, ill or anesthetized patients to facilitate ventilation of the lungs, including mechanical ventilation, and to prevent the possibility of asphyxiation or airway obstruction.The most widely used route is orotracheal, in which an endotracheal tube is passed through the mouth and vocal apparatus into the trachea. In a nasotracheal procedure, an endotracheal tube is passed through the nose and vocal apparatus into the trachea. Other methods of intubation involve surgery and include the cricothyrotomy (used almost exclusively in emergency circumstances) and the tracheotomy, used primarily in situations where a prolonged need for airway support is anticipated.Because it is an invasive and extremely uncomfortable medical procedure, intubation is usually performed after administration of general anesthesia and a neuromuscular-blocking drug. It can however be performed in the awake patient with local or topical anesthesia, or in an emergency without any anesthesia at all. Intubation is normally facilitated by using a conventional laryngoscope, flexible fiberoptic bronchoscope or video laryngoscope to identify the glottis, though other devices and techniques are available.After the trachea has been intubated, a balloon cuff is typically inflated just above the far end of the tube to help secure it in place, to prevent leakage of respiratory gases, and to protect the tracheobronchial tree from receiving undesirable material such as stomach acid. The tube is then secured to the face or neck and connected to a T-piece, anesthesia breathing circuit, bag valve mask device, or a mechanical ventilator.Once there is no longer a need for ventilatory assistance and/or protection of the airway, the tracheal tube is removed; this is referred to as extubation of the trachea (or decannulation, in the case of a surgical airway such as a cricothyrotomy or a tracheotomy).For centuries, tracheotomy was considered the only reliable method for intubation of the trachea. However, because only a minority of patients survived the operation, physicians undertook tracheotomy only as a last resort, on patients who were nearly dead. It was not until the late 19th century however that advances in understanding of anatomy and physiology, as well an appreciation of the germ theory of disease, had improved the outcome of this operation to the point that it could be considered an acceptable treatment option.Also at that time, advances in endoscopic instrumentation had improved to such a degree that direct laryngoscopy had become a viable means to secure the airway by the non-surgical orotracheal route. By the mid-20th century, the tracheotomy as well as endoscopy and non-surgical tracheal intubation had evolved from rarely employed procedures to becoming essential components of the practices of anesthesiology, critical care medicine, emergency medicine, gastroenterology, laryngology, pulmonology and surgery.Tracheal intubation can be associated with minor complications such as broken teeth or lacerations of the tissues of the upper airway. It can also be associated with potentially fatal complications such as pulmonary aspiration of stomach contents which can result in a severe and sometimes fatal chemical aspiration pneumonitis, or unrecognized intubation of the esophagus which can lead to potentially fatal anoxia. Because of this, the potential for difficulty or complications due to the presence of unusual airway anatomy or other uncontrolled variables is carefully evaluated before undertaking tracheal intubation. Alternative strategies for securing the airway must always be readily available.".
- Tracheal_intubation thumbnail Glidescope_02.JPG?width=300.
- Tracheal_intubation wikiPageExternalLink video-library.html.
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- Tracheal_intubation wikiPageExternalLink books?id=G2DTAAAAMAAJ&pg=PA276.
- Tracheal_intubation wikiPageExternalLink ebook13336.pdf.
- Tracheal_intubation wikiPageExternalLink index.html.
- Tracheal_intubation wikiPageExternalLink ref=sr_1_4?ie=UTF8&s=books&qid=1283816205&sr=8-4.
- Tracheal_intubation wikiPageExternalLink englishtranslati01susruoft.
- Tracheal_intubation wikiPageExternalLink 1929018126-The-Airway-Cam-Guide-to-Intubation-and-Practical-Emergency-Airway-Management-1-929018-12-6.html.
- Tracheal_intubation wikiPageExternalLink endotracheal_tubes.html.
- Tracheal_intubation wikiPageID "146396".
- Tracheal_intubation wikiPageRevisionID "605932714".
- Tracheal_intubation alt "Photograph of an anesthesiologist using the Glidescope video laryngoscope to intubate the trachea of a morbidly obese elderly person with challenging airway anatomy".
- Tracheal_intubation caption "Anesthesiologist using the Glidescope video laryngoscope to intubate the trachea of a morbidly obese elderly person with challenging airway anatomy".
- Tracheal_intubation hasPhotoCollection Tracheal_intubation.
- Tracheal_intubation medlineplus "3449".
- Tracheal_intubation meshid "D007442".
- Tracheal_intubation name "Tracheal intubation".
- Tracheal_intubation subject Category:Anesthesia.
- Tracheal_intubation subject Category:Emergency_medical_procedures.
- Tracheal_intubation subject Category:First_aid.
- Tracheal_intubation subject Category:Intensive_care_medicine.
- Tracheal_intubation subject Category:Medical_equipment.
- Tracheal_intubation subject Category:Medical_treatments.
- Tracheal_intubation subject Category:Oral_and_maxillofacial_surgery.
- Tracheal_intubation subject Category:Otolaryngology.
- Tracheal_intubation subject Category:Respiratory_system_procedures.
- Tracheal_intubation subject Category:Respiratory_therapy.
- Tracheal_intubation type Abstraction100002137.
- Tracheal_intubation type Act100030358.
- Tracheal_intubation type Activity100407535.
- Tracheal_intubation type EmergencyMedicalProcedures.
- Tracheal_intubation type Event100029378.
- Tracheal_intubation type MedicalProcedure101024392.
- Tracheal_intubation type Procedure101023820.
- Tracheal_intubation type PsychologicalFeature100023100.
- Tracheal_intubation type RespiratorySystemProcedures.
- Tracheal_intubation type YagoPermanentlyLocatedEntity.
- Tracheal_intubation comment "Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs.".
- Tracheal_intubation label "Endotracheale Intubation".
- Tracheal_intubation label "Intubación".
- Tracheal_intubation label "Intubacja".
- Tracheal_intubation label "Intubatie".
- Tracheal_intubation label "Intubation trachéale".
- Tracheal_intubation label "Intubazione".
- Tracheal_intubation label "Intubação endotraqueal".
- Tracheal_intubation label "Tracheal intubation".
- Tracheal_intubation label "Интубация трахеи".
- Tracheal_intubation label "تنبيب (طب)".
- Tracheal_intubation label "気管挿管".
- Tracheal_intubation sameAs Intubace.
- Tracheal_intubation sameAs Endotracheale_Intubation.
- Tracheal_intubation sameAs Intubación.
- Tracheal_intubation sameAs Intubation_trachéale.
- Tracheal_intubation sameAs Intubasi_endotrakeal.
- Tracheal_intubation sameAs Intubazione.
- Tracheal_intubation sameAs 気管挿管.
- Tracheal_intubation sameAs Intubatie.
- Tracheal_intubation sameAs Intubacja.
- Tracheal_intubation sameAs Intubação_endotraqueal.
- Tracheal_intubation sameAs m.012njw.
- Tracheal_intubation sameAs Q750195.
- Tracheal_intubation sameAs Q750195.
- Tracheal_intubation sameAs Tracheal_intubation.
- Tracheal_intubation wasDerivedFrom Tracheal_intubation?oldid=605932714.
- Tracheal_intubation depiction Glidescope_02.JPG.
- Tracheal_intubation isPrimaryTopicOf Tracheal_intubation.