Saturday, November 24, 2007

INDICATIONS FOR ENDOTRACHEAL INTUBATION

Inadequate ventilation, whether due to sedation and neuromuscular paralysis in the operating room, an obstructed or compromised airway, altered mentation, loss of consciousness, or respiratory failure can lead to brain injury or death within minutes. It is, thus, of great importance to know how to evaluate and address a patient who may require ventilatory support. INDICATIONS FOR ENDOTRACHEAL INTUBATION Indications for ENDOTRACHEAL INTUBATION in the operating room include: the need to deliver positive pressure ventilation, protection of the respiratory tract from aspiration of gastric contents, surgical procedures involving the head and neck or in non-supine positions that preclude manual airway support, almost all situations involving neuromuscular paralysis, surgical procedures involving the cranium, thorax, or abdomen, procedures that may involve intracranial hypertension. Some non-operative indications are: profound disturbance in consciousness with the inability to protect the airway, tracheobronchial toilet, severe pulmonary or multisystem injury associated with respiratory failure, such as sepsis, airway obstruction, hypoxemia, and hypercarbia. Objective measures may also be used to help determine the need for intubation: respiratory rate > 35 breaths per minute, vital capacity <>

Friday, November 09, 2007

STATICS ! Don’t forget it before intubation

Before intubation, please prepare this STATICS S is Scope, this is for stetoscope, laryngoscpe with bright lamp. T for Tubes. Choose an appropriate size. For adult or children. A for Airway device. It’s call Mayo or Guedel. This uses to prevent falling tongue. T is Tape. Don’ forget to this simple device. You can’t fixation an ET without this. I is Introducer. You can say “it is stylet for making intubaation easy” C for Connector to connect tube and anesthesia machine. S is Suction. Suction the mucus or saliva Oke ! See You..

Kuliah Siklus Krebs dan Bioenergetika