Intratracheal intubation

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Intratracheal intubation, also called endotracheal intubation, involves the insertion of a tube into the trachea to maintain an airway and to prevent obstruction.[1]

Videolaryngoscopy does not help inexperienced intubators.[2]

The role of using cricoid pressure (Sellick maneuver) is not clear although it may help close the esophagus during intubation.[3]

Intubation is a difficult skill to learn about at least 20 supervised intubations are needed before skill is acquired.[4]

References

  1. Anonymous (2015), Intratracheal intubation (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Walker L, Brampton W, Halai M, Hoy C, Lee E, Scott I et al. (2009). "Randomized controlled trial of intubation with the McGrath Series 5 videolaryngoscope by inexperienced anaesthetists.". Br J Anaesth 103 (3): 440-5. DOI:10.1093/bja/aep191. PMID 19605408. Research Blogging.
  3. Rice MJ, Mancuso AA, Gibbs C, Morey TE, Gravenstein N, Deitte LA (2009). "Cricoid pressure results in compression of the postcricoid hypopharynx: the esophageal position is irrelevant.". Anesth Analg 109 (5): 1546-52. DOI:10.1213/ane.0b013e3181b05404. PMID 19843793. Research Blogging.
  4. Komatsu R, Kasuya Y, Yogo H, Sessler DI, Mascha E, Yang D et al. (2010). "Learning curves for bag-and-mask ventilation and orotracheal intubation: an application of the cumulative sum method.". Anesthesiology 112 (6): 1525-31. DOI:10.1097/ALN.0b013e3181d96779. PMID 20463580. Research Blogging.