Topics Discussed: intubation; pulmonology and respiratory medicine; tracheal intubation.
Excerpt:"Indications
- To provide mechanical respiratory support.
- To obtain aspirates for culture.
- To assist in bronchopulmonary hygiene ("pulmonary toilet").
- To alleviate upper airway obstruction (subglottic stenosis).
- To clear the trachea of meconium.
- Selective bronchial ventilation.
- Diaphragmatic hernia.
- To administer medications in the emergency setting before intravenous access is established.
Equipment. A correct endotracheal tube (Table 28–1), a pediatric laryngoscope handle with a Miller blade ("00" blade for extremely preterm infants, "0" blade for preterm infants, 1 blade for full-term infants; straight blades are preferred over curved blades), a bag-and-mask apparatus, an endotracheal tube adapter, a suction apparatus, tape, scissors, a malleable stylet (optional), personal protection equipment, and tincture of benzoin. A bag-and-mask apparatus with 100% oxygen should be available at the bedside. The mechanical ventilator should be checked..."
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