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Quick Scroll ENDOTRACHEAL INTUBATION 04.02.07 (1 year ago) #1

anyone plz help me out
i often fail doing an endotracheal intubation...
wats the correct way?
any sites demonstrating the correct procedure of intubation?
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ameerSend an Instant Message to ameer  




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Quick Scroll Re: ENDOTRACHEAL INTUBATION 04.03.07 (1 year ago) #2

vic01 wrote:
anyone plz help me out
i often fail doing an endotracheal intubation...
wats the correct way?
any sites demonstrating the correct procedure of intubation?


just keep trying....... ask your supervisor to identify where you r going wrong.......... it needs practice......... thats it!
method is definitely important........ watching videos i think would not help much......... you may try simulation like using mannikins etc
I hope this helps
goodluck
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Quick Scroll 04.04.07 (1 year ago) #3

thanks ameer...
one more ques... how and from where do i get simulation ... mannikins????
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Quick Scroll 04.05.07 (1 year ago) #4

vic01 wrote:
thanks ameer...
one more ques... how and from where do i get simulation ... mannikins????


Try to talk to your senior anesthesist regarding mannikins and ACLS course etc. I am sure they will help you with all the information. Usually all teaching hospitals have some mannikins for the ACLS courses etc... some of them have trachea & dummy lungs, etc where you can practice intubation techniques, inserting LMAs etc.
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Quick Scroll Re: ENDOTRACHEAL INTUBATION 04.08.07 (1 year ago) #5

vic01 wrote:
anyone plz help me out
i often fail doing an endotracheal intubation...
wats the correct way?
any sites demonstrating the correct procedure of intubation?



hi there ... just try n find out where you are going wrong .. most often the reason for failure to intubate is NOT a difficult intubation , but it is a wrong laryngoscopy. so try to improve your laryngoscopy technique if there is anything wrong in it... in simple MPC 1 and C L 1 patients you should not have a problem if your laryngoscopy is correct and if the position of the head is in correct extension. seeing videos is not of much use.. you can try practising on simulated mannekins but that is very different from what u see in real patients...
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Quick Scroll 04.11.07 (1 year ago) #6

yeah proper laryngoscopy is the key.... .. displace the tongue properly so dat u 've max space nd view ........identify valeculla........now LIFT LARYNGOSCPE in right way.....the movement shd b at shoulder jt nd try holding laryngoscope away 4m blade while lifting......... put the ET 4m angle of mouth pref the concave curvature of ET facing laterally nd not superiorly...........

another tip......jst cncntrate on the glottis with one eye closed.......(arjun ki ankh).......adjust ur position where 'vng max ease .....nd put the tube......
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Quick Scroll 04.24.07 (1 year ago) #7

Well dear frnd,Its very simple....put a pillow below the shoulder of the pt,tilt head[not in newborn],open d mouth,[using right handed blades] introduce the larungoscope blade in the right corner of mouth gently and displace the tongue towards left and moving inside get to the epiglottis,now here comes the most imp part of scopy...JUST FORWARD AND UPWARD PUSH OF THE LARYNGOSCOPE AND YOU WILL GET THE VOCAL CORDS...NEVER TRY TO LIFT THE JAW...IT SHOULD BE FORWARD and UPWARD PUSHING MOVEMENT AT THE JAW WHICH WILL EFFECTIVELY SHOW YOU EACH AND EVERYTHING YOU WANNA SEE IN A NORMAL AIRWAY.
So there are two points...
Put the blade in the right corner of mouth and displace the tongue to the left....the tongue should never come in your view...I cant say how but that can be learnt only from ur senior or PG teacher
Second is the Forward and Upward push at the jaw...never try to lift the jaw in 90 degree upward..otherwise you will compromise your view to the vocal cords and also you will compromise the mouth opening and most importantly you are disturbing the laryngeal plane and oral plane and pharyngeal plane by lifting upwards straight and you will mostly gonna make difficult and wrong laryngoscopy..
Try this things in OT on a paralysed patients not in emergency room where the conscious patient will never gonna co operate you and that is a task of an experienced senior doc.
Hope you might find this information helpful.
Good day!!
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Quick Scroll 04.26.07 (1 year ago) #8

thanks a lot neo for this beautiful piece of information
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