Endotracheal Tubes

Four Major advantage of endotracheal tube

Environment

Endotracheal tube should be abolished, the patient physiological monitoring, in appropriate emergency equipment and trained health care providers of airway management skills, the environment is immediately available
Objectives

Airway control when the endotracheal tube to be identified as no longer necessary to continue treatment for the patient, the management should be abolished. Determination of the subjective or objective underlying cause pulmonary and / or gas exchange capacity is improved by the former extubation conditions. In general, this need to have enough patience: the central inspiratory drive, respiratory muscle strength, strength cough clear secretions, laryngeal mask airway function, nutritional status, as well as the role of sedative and neuromuscular blocking release.

•   Occasionally, surgical mask obstruction of the artificial airway due to mucus or mechanical deformation mandates immediate removal of the artificial airway.

•   Patients in whom an explicit declaration of the futility of further medical care is documented may have the endotracheal tube removed despite failure to meet the above indications .

Contraindications

There are no absolute contraindications to extubation; however, to maintain acceptable gas exchange after extubation some patients may require one or more of the following: noninvasive ventilation, continuous positive airway pressure, high inspired oxygen mask fraction, or reintubation. Airway protective reflexes may be depressed immediately following and for some time after extubation

Limitations of Methodology

Extubation predicted results and the poor. However, the literature on the subject is a limited number of measures to verify the target accurately forecast the results of individual patient’s extubation.

Originally published here.