Adult intubation is a complex medical operation that needs to be performed under the guidance of a professional doctor. The intubation process usually involves multiple sites such as the oral cavity, nasal cavity, and trachea, requiring precise operating skills and professional knowledge. Here are some basic adult intubation steps:
1. Preparation stage
Understand the condition: Before intubation, medical staff need to conduct a detailed assessment of the patient's condition to determine the necessity and feasibility of intubation.
Verify information: Confirm the patient's identity information and condition to ensure the accuracy and safety of the operation.
Item preparation: Prepare the required equipment, drugs and materials, including endotracheal intubation, laryngoscope, suction device, oxygen, etc. Make sure these items are in good working order and have backups ready for emergencies.
2. Anesthesia and sedation
In some cases, patients may need to receive anesthesia or sedation to reduce tension and pain. Based on the patient's specific situation and needs, the doctor will select appropriate medications and treatments.
3. Positioning and inserting laryngoscope
Oral hygiene: Before intubation, patients are advised to perform oral hygiene to ensure oral hygiene and reduce the risk of infection.
Laryngoscope insertion: The medical staff inserts the laryngoscope into the patient's mouth, moves the lens near the base of the tongue, and then pulls it upward to lift the epiglottis cartilage, thereby exposing the larynx. The key to this step is to correctly grasp the insertion depth and angle of the laryngoscope to ensure that the laryngeal structure can be clearly observed.
4. Tracheal intubation
Select the appropriate type of endotracheal intubation: Based on the patient's condition and respiratory condition, the doctor will select the appropriate type of endotracheal intubation (such as single-lumen or multi-lumen intubation).
Adjust the tube length: Adjust the length of the endotracheal tube to suit the patient's airway structure and respiratory needs based on factors such as the patient's height, weight, and age.
Slowly insert the tube: Under the guidance of the laryngoscope, slowly insert the endotracheal tube into the patient's trachea. The key to this step is to maintain a smooth operating speed and intensity to avoid excessively fast or violent movements that may cause discomfort or injury to the patient.
Secure the catheter: Once the catheter is in place, medical staff can use tape or other securing devices to secure it to the patient's mouth and neck to prevent it from moving or falling out.
Monitoring and adjustment: During the intubation process, medical staff need to pay close attention to the patient's vital signs and reactions, such as heart rate, blood pressure, respiration, etc. Make timely adjustments and treatments according to the patient's condition changes and discomfort symptoms.
5. Things to note
Strictly abide by operating specifications: When performing intubation, you must strictly abide by relevant operating specifications and process requirements to ensure the accuracy and safety of the operation.
Closely monitor the patient's reaction: During the entire intubation process, pay close attention to the patient's reaction and changes in vital signs, and deal with any abnormalities in time.
Prevention of complications: In order to avoid the occurrence of complications, medical staff must follow the principles of aseptic operation and take disinfection and protective measures when performing intubation; at the same time, they must reasonably control the operation time and frequency to avoid over-stimulation of the patient's respiratory mucosa.
Seek professional support: If you encounter an emergency or difficulty, seek professional medical support and help as soon as possible. There are some simple first aid measures you can take to relieve symptoms while you wait for medical professionals to arrive.
In short, adult intubation is a complex and professional medical operation that requires professional doctors and nurses to perform. Only medical personnel who have undergone rigorous training and accumulated practical experience are qualified for this task. If you or someone close to you needs adult intubation, it is important to seek support from a professional medical provider or hospital. They will provide necessary medical services and guidance to ensure the safety and effectiveness of operations.