2. INDICATIONS FOR Mechanical Ventilation
Emergent intubation :
1. require immediate airway protection and MV
2. suffering from shock with decreased oxygen delivery (DO2)
3. having an absent or unprotected airway.
4. hypoxemia or hypercarbia with acidosis or both
3. Urgent intubation :
1. impending airway loss.
2. increased work of breathing with worsening hypoxia and rising CO2
3. emerging injury complexes that may compromise the airway or thoracic cage
4. Delayed intubation :
1. progression of the disease process despite therapy or inadequate improvement with
2. Transport to a noncritical care area with a patient who has potential for airway loss
9. Intubation Procedure
Check and Assemble Equipment:
Oxygen flowmeter and O2 tubing
Suction apparatus and tubing
Suction catheter or yankauer
Ambu bag and mask
Laryngoscope with assorted blades
3 sizes of ET tubes
Towels for positioning
11. Intubation Procedure
Preoxygenate with 100% oxygen to
provide apneic or distressed patient
with reserve while attempting to
Do not allow more than 30 seconds to
any intubation attempt.
If intubation is unsuccessful, ventilate
with 100% oxygen for 3-5 minutes
before a reattempt.
14. Intubation Procedure
After displacing the epiglottis
insert the ETT.
The depth of the tube for a male
patient on average is 21-23 cm at teeth
The depth of the tube on average for a
female patient is 19-21 at teeth.
36. Step 1: Disconnect the Patient from the Ventilator
Step 2: Breathing—Hand-Ventilate with 100% Oxygen
Step 3: Airway—Determine That the ET Tube Is Functioning and in the Proper Position
Cardiac Arrest and Near Arrest Patients