endotracheal intubation Flashcards
purpose of et tubes
maintain airway, minimize risk of pulmonary aspiration of blood, stomach contents, ease O2 flow, ventilation
range of sizes
3.0-14 mm
parts of ET tube
connector, cuff, pilot, balloon, valve
tools of intubation
laryngoscopes, right size tube, roll gauze, gauze sponge, light, stylet, lidocaine
size of et tubes
tip of nose to thoracic inlet
sizes for cats
3-4.5 mm
sizes for dogs
increase 0.5 per 2.5 kg, 20 kg = 8mm-9mm
procedure for placement
sternal recumbency, hands out of bite radius, mouth wide, pull tongue out, tilt head up, visualize vocal folds, place tube
check placement
bag expansion and contraction, air movement on exhalation, palpation, vocalization, normal CO2
cuff inflation
seal between trachea and cuff, avoid overinflation
laryngospasm
glottis closes during intubation, most common in cats, swine, ruminants, can cause hypoxia and cyanosis, 0.1 mL of lido