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: Tygozshura Aragal
Country: Jamaica
Language: English (Spanish)
Genre: Finance
Published (Last): 1 May 2014
Pages: 261
PDF File Size: 20.43 Mb
ePub File Size: 9.51 Mb
ISBN: 265-1-89213-286-9
Downloads: 99385
Price: Free* [*Free Regsitration Required]
Uploader: Tygogore

Minor complications are common after laryngoscopy and insertion of an orotracheal tube.

The size is chosen based intybasi the patient’s body size, with the smaller sizes being used for infants and children. Due to the widespread availability of such devices, the technique of blind intubation [6] of the trachea is rarely practiced today, although etf may still be useful in certain emergency situations, such as natural or man-made disasters. Therefore, the patient is carefully evaluated for potential difficulty or complications beforehand.

In the French surgeon Nicholas Habicot — published a report of four successful tracheotomies.

Views Read Edit View history. For human use, tubes range in size from 2 to Perhaps the most common indication for tracheal intubation is for the placement of a conduit through which nitrous oxide or volatile anesthetics may be administered. Tracheal intubation is often required to restore patency the relative absence of blockage of inthbasi airway and protect the tracheobronchial tree from pulmonary aspiration of gastric contents.

Therefore, it is suggested that the endotracheal tube cuff pressure must be kept within the optimal range using a standard manometer. The objective of RSI is to minimize jntubasi possibility of regurgitation and pulmonary aspiration of gastric contents during the induction of general anesthesia and subsequent tracheal intubation.

Tracheal intubation

Data hasil penelitian dianalisis menggunakan uji-t tidak berpasangan dan uji chi-kuadrat. 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.


Endotracheal cuff pressure, passive intubbasi technique, pilot balloon palpation method. 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 leakage of respiratory gases, and to protect the tracheobronchial tree from receiving undesirable material such as stomach acid.

Intubating styletspp. In the acute setting, indications for tracheotomy are similar to those for cricothyrotomy. Severe blunt or penetrating injury to the face or neck may be accompanied by swelling etr an expanding hematomaor injury to the larynx, trachea or bronchi. Airway obstruction is also common in people who have suffered smoke inhalation or burns within or near the airway or epiglottitis.

The tube is then secured to the face or neck and connected to a T-piece, anesthesia breathing circuit, bag valve mask device, or a mechanical ventilator. Many different types of tracheal tubes are available, suited for different specific applications.

Previous experiences with tracheal intubation, especially difficult intubation, intubation for prolonged duration e. There is also the Univent tube, which has a single tracheal lumen and an integrated endobronchial blocker. Buffalo Medical Journal and Monthly Review. Dictionary of Cancer Terms. General anesthetic agentsopioidsand neuromuscular-blocking drugs may diminish or even abolish the respiratory drive.

Archived from the original PDF on The application of cricoid pressure may in fact displace the esophagus laterally [48] instead of compressing it as described by Sellick.

Jurnal Keperawatan Soedirman

This page was last edited on intubasii Decemberat Cricoid pressure has been widely used during RSI for nearly fifty years, despite a lack of compelling evidence to support this practice.

Several manufacturers market prepackaged cricothyrotomy kits, which enable one to use either a wire-guided percutaneous dilational Seldinger technique, or the classic surgical technique to insert a polyvinylchloride catheter through the cricothyroid membrane.

Because of this, the potential for difficulty or complications due to the presence of unusual airway anatomy or other uncontrolled variables is carefully evaluated before undertaking tracheal intubation.


Waveform capnography has emerged as the gold standard for the confirmation of tube placement within the trachea.

Sir Robert Reynolds Macintosh — introduced a curved laryngoscope blade in ; [] the Macintosh blade remains to this day the most widely used laryngoscope blade for orotracheal intubation. Simpulan penelitian ini menunjukkan bahwa metode palpasi merupakan teknik pengukuran tekanan balon ETT yang tidak adekuat. Each of these devices have its own unique set of benefits and drawbacks, and none of them is effective under all circumstances.

Antiseptic lavage Gastric lavage Arthroscopic lavage Ductal lavage Vaginal douche. Because of this, patients with massive facial injury, complete upper airway obstruction, severely diminished ventilation, or profuse upper airway bleeding are poor candidates for fiberoptic intubation.

Tracheal intubation – Wikipedia

rtt There are a number of different types of double-lumen endo-bronchial tubes that have endobronchial as well as endotracheal channels Carlens, White and Robertshaw tubes. The easiest method to perform this technique is the needle cricothyrotomy also referred to as a percutaneous dilational cricothyrotomyin which a large-bore egt gauge intravenous catheter is used to puncture the cricothyroid membrane.

An endotracheal tube is a specific type of tracheal tube intuubasi is nearly always inserted through inrubasi mouth orotracheal or nose nasotracheal. The decision to use a straight or curved laryngoscope blade depends partly on the specific anatomical features of the airway, and partly on the personal experience and preference of the laryngoscopist. 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.

In the chronic setting, indications for tracheotomy include the need for long-term mechanical ventilation and removal of tracheal secretions e. The earliest known depiction of a tracheotomy is found on two Egyptian tablets dating back to around BC.