Indications and preparation for endotracheal intubation

  • Introduction...
  • 1. Indications for...
  • 2. Equipments requ...
  • 3. Equipments requ...
  • 4. Laryngoscope bl...
  • 5. Selecting endot...
  • 6. Additional item...
  • 7. Tip to lip dist...
  • 8. Key messages...
 

Introduction

DR. JAGJIT DALAL
MD, DM (Neonatology)

Associate Professor
Department of Pediatrics
PGIMS, Rohtak

1. Indications for intubation

â–º Ineffective BMV - not resulting in adequate clinical
    improvement

â–º Prolonged PPV

â–º Along with chest compressions

â–º Surfactant administration (INSURE)

â–º Special situation:
    ♦ Diaphragmatic hernia

2. Equipments required

3. Equipments required

4. Laryngoscope blades selection

â–º No. 1 for full term

â–º No. 0 for preterm / LBW

â–º No. 00 for extremely preterm (optional)

5. Selecting endotracheal tube

6. Additional items



7. Tip to lip distance (6+wt.in kg) depth of insertion



8. Key messages

â–º Endotracheal intubation should be well planned

â–º Intubation should be done under monitoring with pulse
    oximeter

â–º Size and depth of insertion should be determined before
    intubation