Intubation of the trachea: when the time goes by seconds ...

Emergency conditions of the body, when resuscitation should be taken as soon as possible, require clear action by medical personnel. The methods of resuscitation are selected on site, depending on the specificity of the lesion, the severity of the patient's condition and the ability to carry out the necessary measures without delay.

One of these methods of resuscitation is intubation of the trachea. Indications for intubation of the trachea:

Ü impossibility of ventilating the lungs in alternative ways; Resistance from other organs and tissues (for example, it is difficult to ventilate the lungs in pregnant women with toxicosis, in obese people in the sternum);

Ü multiple rib injuries;

Ü ingestion of vomit into the trachea and bronchi , presence of viscous sputum in large quantities, filling the mouth with blood;

Ü impossibility of resuscitation of the heart within the limits of clinical death (up to six minutes);

Ü the need for an open heart massage;

Ü further transportation of the patient to a medical institution for resuscitation.

Also in intensive care there is a whole series of contraindications, when intubation of the trachea can not be applied because of the threat to the life and health of the patient. Do not intubate with spinal injuries in the cervical region, in the presence of deep neck injuries, tumors, swelling, and limitation of temporomandibular joint mobility.

Intubation of the trachea, the technique of performing the procedure must be strictly observed and carried out only by medical personnel, since incorrect placement of the endotracheal tube can lead to serious damage.

The device for intubation is a tube that is designed to provide ventilation of the lungs by restoring airway patency. This tube also serves to release the respiratory tract from sputum, vomit. Intubation tube is also used in anesthesiology - it is performed by gas anesthesia.

Physicians conduct intubation as follows: the victim is placed in a reclining position, the head leans back as much as possible. Usually under the shoulders put a pillow, if it is not - fold the clothes in the form of a roller to slightly raise the sternum. To control the introduction of the intubation tube, a laryngoscope is used. Usually, with the introduction of the endotracheal tube, premedication is performed-the administration of drugs to provide painless intubation and muscle relaxants, which relax the muscles to penetrate the tube into the trachea. If the patient is in a thermal state or in a state of clinical death, intubation of the trachea is performed without observing such conditions. Often intubation of the trachea has to do with epileptics - in this case the mouth cavity is unclenched violently and the necessary actions are taken.

The blade of the laryngoscope is pressed against the epiglottis, thereby freeing access to further progress. The root of the tongue is pushed aside and when the entrance to the larynx is shown, an intubation tube is inserted there. The tube sizes fluctuate, they are selected in advance depending on the patient's age.

If the procedure is done correctly, when blowing air into the tube you can hear noises in the lungs, noticeable movements of the chest, the air goes back. To purify the airway with a thin tube through the intubation tube, remove the contents.

Intubation of the trachea is a very important resuscitation measure. If the patient does not intubate in time, his situation worsens with every minute. At the same time, when intubation is not worth hurry - the procedure should not cause injuries to the airways due to the haste of inserting the tube. Attempts to intubate should not be used for more than three minutes - otherwise it is worth trying artificial ventilation.