Persiapan Dasar Intubasi Sulit – Laringoskop berbagai ukuran – ETT berbagai ukuran – Introducer (stylet, elastic bougie) – Oral dan nasal. Detection of ETT malposition in a timely fashion is crucial in both elective and auskultasi untuk membedakan antara intubasi endotrakea dan endobronkial. Intubasi endotrakea adalah salah satu prosedur penting dan umum pita suara, sedangkan ujung distal ETT berada pada cm dari carina.

Author: Mazuran Yonris
Country: Paraguay
Language: English (Spanish)
Genre: Medical
Published (Last): 12 October 2006
Pages: 329
PDF File Size: 12.56 Mb
ePub File Size: 14.41 Mb
ISBN: 629-1-41335-250-3
Downloads: 86149
Price: Free* [*Free Regsitration Required]
Uploader: Zulukree

Sustained generalized seizure activity and angioedema are other common causes of life-threatening airway obstruction which may require tracheal intubation to secure the airway. The vast majority of tracheal intubations involve the use of a viewing instrument of one type or another. Other complications which are common but potentially more serious include accelerated or irregular heartbeat, high blood pressureelevated intracranial and introcular pressure, and bronchospasm.

Airway management can be classified into closed or open techniques depending on the system of ventilation used. Indications for tracheal intubationpp.

A new indirect oral laryngoscope pediatric version “. The easiest method to perform this technique is the needle cricothyrotomy also referred to as a percutaneous dilational cricothyrotomyin which a large-bore 12—14 gauge intravenous catheter is used to puncture the cricothyroid membrane. Flight paramedics often use RSI to intubate before transport because intubation in a moving fixed-wing or rotary-wing aircraft is extremely difficult to perform due to environmental factors.

Tracheal tubes can be used to ensure the adequate exchange of oxygen and carbon dioxideto deliver oxygen in higher concentrations than found in air, or to administer other gases such as helium[25] nitric oxide[26] nitrous oxide, xenon[27] or certain volatile anesthetic agents such as desfluraneisofluraneor sevoflurane. Tracheal intubation Balloon tamponade Sengstaken—Blakemore tube Nasogastric intubation. Internet Journal of Airway Management.

ASA physical status classification system Baricity Bispectral index Entropy monitoring Fick principle Goldman index Guedel’s classification Mallampati score Neuromuscular monitoring Thyromental distance.

Kaviraj Kunja Lal Bhishagratna. The American Society of Anesthesiologists’ management of the difficult airway algorithm and explanation-analysis of the algorithmpp. Other methods of intubation involve surgery and include the cricothyrotomy used almost exclusively in emergency circumstances and the tracheotomyused primarily in situations where a prolonged need for airway support is anticipated. Between andoptical engineers built upon the earlier work of Rudolph Schindler —developing the first gastrocamera.


Airway management Chest tube Dialysis Enteral feeding Goal-directed therapy Induced coma Mechanical ventilation Therapeutic hypothermia Total parenteral nutrition Tracheal intubation. After induction of anesthesia, the cuff was inflated with two different techniques: Summary of the current articles in the literature”. InChevalier Jackson was the first to report a high rate of success for the use of direct laryngoscopy as a means to intubate the trachea.

Inserting a tube that is too large relative to the diameter of the trachea can cause swelling.

Tracheal intubation – Wikipedia

Severe blunt or penetrating injury to the face or neck may be accompanied by swelling and an expanding hematomaor injury to the larynx, trachea or bronchi. It can also be associated with potentially fatal complications such as pulmonary aspiration of stomach contents which can result in a severe and sometimes fatal chemical aspiration pneumonitisor unrecognized intubation of the esophagus which can lead to potentially fatal anoxia.

As with adults, there are a number of devices specially designed for assistance with difficult tracheal intubation in children. The differences, which are quite significant in inttubasi, gradually disappear as the human body approaches a mature age and body mass index. ingubasi

Spontaneous ventilation has been traditionally performed with an inhalational agent i. It can however intubbasi performed in the awake patient with local or topical anesthesia or in an emergency without any anesthesia at all. All articles with dead external links Articles with dead external links from August Articles with permanently dead external links CS1 French-language sources fr Commons category link is on Wikidata Commons category link is on Intubsai using P Good articles.

Tracheal intubation

It is conclude that the palpation method for cuff inflation are inadequate. Arterial blood gas Catheter Arterial intubqsi Central venous catheter Pulmonary artery catheter Blood cultures Screening cultures.


Although such medical scoring systems may aid in the evaluation of patients, no single score or combination of scores can be trusted to specifically detect all and only those patients who are difficult to intubate. The application of cricoid pressure may in fact displace the esophagus laterally [48] instead of compressing it as described by Sellick. Tracheal tubes are frequently used for airway management in the settings of general anesthesia, critical care, mechanical ventilation and emergency medicine.

Surgical airwaypp. Hemodynamics Hypotension Level of consciousness Acid—base imbalance Water-electrolyte imbalance. Conventional laryngoscopic orotracheal and nasotracheal intubation single lumen tubepp.

Jurnal Keperawatan Soedirman

After the trachea has been intubated, a balloon cuff is typically inflated just above the far end of the tube to help secure it in place, to prevent eyt of respiratory gases, and to protect the tracheobronchial tree from receiving undesirable material such as stomach acid. A bicentenary reflection” PDF.

Emergency department Emergency medical services Emergency nursing Emergency psychiatry Golden hour Medical intubask International emergency medicine Pediatric emergency medicine Pre-hospital emergency medicine Major trauma Trauma center Triage.

Anaesthetic machine Anesthesia cart Boyle’s machine Gas cylinder Laryngeal mask airway Laryngeal tube Medical monitor Odom’s indicator Relative analgesia machine Vaporiser Double-lumen endotracheal tube Endobronchial blocker. Inthe German surgeon Friedrich Trendelenburg — published a paper describing the first successful elective human tracheotomy to be performed for the purpose of administration of general anesthesia.

If only one of these nerves is damaged, the patient’s voice may be impaired dysphonia ; if both of the nerves are damaged, the patient will be unable to speak aphonia. Buffalo Medical Journal and Monthly Review. Tracheal intubation is a typical example of a closed technique as ventilation occurs using a closed circuit. In addition to cuffed or uncuffed, preformed endotracheal tubes are also available.