Role and responsibility of Intensive Care Nurses in Intubation Procedure

International Journal of Nursing and Health Science

© 2021 by SSRG - IJNHS Journal

Volume 7 Issue 3

Year of Publication : 2021

Authors : Mr. R. Surendra Naik, Mr. Avadhesh Kumar Yadav, Mr. Rajendra Kumar Sahu, Mr. Ram Niwas Sharma

10.14445/24547484/IJNHS-V7I3P101

How to Cite?

Mr. R. Surendra Naik, Mr. Avadhesh Kumar Yadav, Mr. Rajendra Kumar Sahu, Mr. Ram Niwas Sharma, "Role and responsibility of Intensive Care Nurses in Intubation Procedure," SSRG International Journal of Nursing and Health Science, vol. 7,  no. 3, pp. 1-4, 2021. Crossref, https://doi.org/10.14445/24547484/IJNHS-V7I3P101

Abstract:

Endotracheal intubation (EI) is often an emergency procedure that’s performed on people who are unconscious or who can’t breathe on their own.
A. Indications- Airway problems, Respiratory deficiencies, Inadequate Circulation, Central Nervous system Problems, Muscle Weakness, Patients with Risk for aspiration of stomach contents blood mucus aspiration. Complications- Paralysis of the tongue, Ulceration of the mouth, Paralysis of the vocal cord, and Tissue stenosis and necrosis of the trachea.
B. Routes of intubation - Orotracheal, Nasotracheal, and Tracheotomies
C. Preparation for intubation at critical care area: Remove the dentures, if any, to prevent dislodging and obstructing the airway. Arrange all equipment needed for intubation and Get ready with all emergency drugs and equipment. Select Appropriate size of Endotracheal tubes cuffed or uncuffed. Laryngoscope to visualize the larynx and to depress the tongue during the insertion. Flexible copper stylet- to be used as a guide during the insertion and to give the tubes greater rigidity. Oro tracheal intubation is best performed by direct laryngoscopy with the patient in a supine position. Video laryngoscopy, i.e., the transmission of the view from the laryngoscope blade tip to a video display, provides another possibility to display the intubation procedure for multiple viewers on a monitor. To obtain maximum laryngeal exposure, the head and neck are tilted to bring mouth, larynx, and trachea in line. Immediately after passing the tube, its location is observed by observing the patient breathing or artificially inflating the lungs, and by auscultation of the lungs; finally, the cuff is inflated, and the tube is fixed to the patient's face.
D. Nursing care of a patient with intubated patients - Never leave the patient alone, Check the ventilator settings, Watch and maintain an open airway., Prevent the displacement of the tube, watch for complications such as laryngeal edema, tracheal stenosis, hemorrhage, etc.; observe the patient's tachypnoea tachycardia diaphoresis hypoxia, Maintain patient head end elevation 30 to 45 degrees for prevention of aspiration. Keep emergency tracheostomy tray with tracheostomy tubes of correct sizes at the bedside for emergency patient care purposes. Document patients and procedure details in the patient's record.

Keywords:

Endotracheal tube, Intubation, ET tube insertion.

References:

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