Endotracheal Intubation: Difference between revisions
Jump to navigation
Jump to search
(Cleaned Page Up a Bit (To better format standards etc)) |
|||
| Line 1: | Line 1: | ||
= | =Basics= | ||
*A Form of Intubation used for medical ventihilation | |||
*Usually done through the mouth, but can be done via more invasive methods if required (Due to medical reasons (swelling etc) or due to emergency needs | |||
*A Highly Skilled Technique | |||
*OSE may be able to develop some of the devices used see [[ | |||
=Invasive Methods= | |||
*Is done THROUGH the throat | |||
*Is often reffered to as a Tracheotomy | |||
*Intensive Care Unit, extreme risk cases, invasive intubation | *Intensive Care Unit, extreme risk cases, invasive intubation | ||
= | =Non-Invasive Methods= | ||
*Tube is inserted via the mouth using varying forms of guidance for the Surgeon or other qualified person(s) such as 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. | |||
=Alternatives= | |||
*Not all problems require this solution | |||
See reference for critical care procedures - in this interview - [https://docs.google.com/document/d/1XDy2i3ydX8WDu4DrDIcHxhWq0t3ud4T_KVyr_vNWaUc/edit] | See reference for critical care procedures - in this interview - [https://docs.google.com/document/d/1XDy2i3ydX8WDu4DrDIcHxhWq0t3ud4T_KVyr_vNWaUc/edit] | ||
*Day 8-9 shortness of breath occurs | *Day 8-9 shortness of breath occurs | ||
| Line 17: | Line 23: | ||
*NPPV - Non-Invasive Positive Pressure Ventilation - [https://www.youtube.com/watch?v=TK9xtbOU2xs] | *NPPV - Non-Invasive Positive Pressure Ventilation - [https://www.youtube.com/watch?v=TK9xtbOU2xs] | ||
=Worst Case Scenario= | =Shortage of Required Supplies/Systems Due to the Influx of Patients in the First COVID-19 Outbreak= | ||
==Worst Case Scenario== | |||
From [https://docs.google.com/document/d/1XDy2i3ydX8WDu4DrDIcHxhWq0t3ud4T_KVyr_vNWaUc/edit] - a peak of patients rushing to hospitals (beyond improvised # of IC beds). All medical personel functioning while sick. PPE's will no longer be relevant, etc, but number of beds will. and ventilators will then become an issue? | From [https://docs.google.com/document/d/1XDy2i3ydX8WDu4DrDIcHxhWq0t3ud4T_KVyr_vNWaUc/edit] - a peak of patients rushing to hospitals (beyond improvised # of IC beds). All medical personel functioning while sick. PPE's will no longer be relevant, etc, but number of beds will. and ventilators will then become an issue? | ||
=See Also= | |||
* | |||
=Useful Links= | |||
*[https://en.wikipedia.org/wiki/Tracheal_intubation The Wikipedia Page on Tracheal intubation] | |||
Latest revision as of 14:08, 23 March 2020
Basics
- A Form of Intubation used for medical ventihilation
- Usually done through the mouth, but can be done via more invasive methods if required (Due to medical reasons (swelling etc) or due to emergency needs
- A Highly Skilled Technique
- OSE may be able to develop some of the devices used see [[
Invasive Methods
- Is done THROUGH the throat
- Is often reffered to as a Tracheotomy
- Intensive Care Unit, extreme risk cases, invasive intubation
Non-Invasive Methods
- Tube is inserted via the mouth using varying forms of guidance for the Surgeon or other qualified person(s) such as 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.
Alternatives
- Not all problems require this solution
See reference for critical care procedures - in this interview - [1]
- Day 8-9 shortness of breath occurs
- CPAP - from [2]. See [CPAP on Wikipedia https://en.wikipedia.org/wiki/Continuous_positive_airway_pressure]
- B-PAP - bi-level CPAP - has one pressure for exhale, another for inhale - [3] , CPAP,
- high flow nasal cannula oxygen - [4]
- COVID room protocol - Powered Air-Purifying Respirator + shoe covers.
- NPPV - Non-Invasive Positive Pressure Ventilation - [5]
Shortage of Required Supplies/Systems Due to the Influx of Patients in the First COVID-19 Outbreak
Worst Case Scenario
From [6] - a peak of patients rushing to hospitals (beyond improvised # of IC beds). All medical personel functioning while sick. PPE's will no longer be relevant, etc, but number of beds will. and ventilators will then become an issue?