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

► Ineffective BMV - not resulting in adequate clinical
    improvement

► Prolonged PPV

► Along with chest compressions

► Surfactant administration (INSURE)

► Special situation:
    ♦ Diaphragmatic hernia

2. Equipments required

3. Equipments required

4. Laryngoscope blades selection

► No. 1 for full term

► No. 0 for preterm / LBW

► 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

► Endotracheal intubation should be well planned

► Intubation should be done under monitoring with pulse
    oximeter

► Size and depth of insertion should be determined before
    intubation