Endotracheal Intubation
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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?