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2021-05-27

What are your top five patient care priorities immediately following intubation?

What are your top five patient care priorities immediately following intubation?

Monitor vital signs every five minutes. What are the care priorities for a patient in the immediate postoperative period? Maintaining airway and normothermia, monitoring vital signs and indications of recovery from anethesia, managing pain, and recognizing and intervening for complications.

What is the tool called to intubate a patient?

Intubation is normally facilitated by using a conventional laryngoscope, flexible fiberoptic bronchoscope, or video laryngoscope to identify the vocal cords and pass the tube between them into the trachea instead of into the esophagus. Other devices and techniques may be used alternatively.

Which instrument is most commonly used by Anaesthetist for intubation?

Equipment

  • Laryngoscope (see image below): Confirm that light source is functional prior to intubation.
  • Laryngoscope handle, No.
  • Endotracheal (ET) tube.
  • Stylet.
  • Syringe, 10 mL (to inflate ET tube balloon)
  • Suction catheter (eg, Yankauer)
  • Carbon dioxide detector (eg, Easycap)
  • Oral and nasal airways.

What do you need for rapid sequence intubation?

Remembered as the 9Ps:

  • Plan.
  • Preparation (drugs, equipment, people, place)
  • Protect the cervical spine.
  • Positioning (some do this after paralysis and induction)
  • Preoxygenation.
  • Pretreatment (optional; e.g. atropine, fentanyl and lignocaine)
  • Paralysis and Induction.
  • Placement with proof.

Who needs rapid sequence intubation?

Patients who require intubation have at least one of the following five indications: Inability to maintain airway patency. Inability to protect the airway against aspiration. Failure to ventilate.

What is the difference between rapid sequence intubation and regular intubation?

One important difference between RSI and routine tracheal intubation is that the practitioner does not typically manually assist the ventilation of the lungs after the onset of general anesthesia and cessation of breathing, until the trachea has been intubated and the cuff has been inflated.

Why do we do rapid sequence intubation?

Rapid sequence induction (RSI) is an established method of inducing anaesthesia in patients who are at risk of aspiration of gastric contents into the lungs. It involves loss of consciousness during cricoid pressure followed by intubation without face mask ventilation.

Is sedation required for intubation?

Sedation and analgesia for intubation Laryngoscopy and intubation are uncomfortable; in conscious patients, a short-acting IV drug with sedative or combined sedative and analgesic properties is mandatory.