Emergency orotracheal intubation is indicated in any situation in which definitive control of the airway is needed. Specific indications include cardiac or respiratory arrest, failure to protect the airway from aspiration, inadequate oxygenation or ventilation, and impending or existing airway obstruction. Orotracheal intubation is also commonly performed as part of the care of the critically ill patient with multisystem disease or injuries, and to facilitate control of the airway during surgical procedures requiring general anesthesia. Contraindications: In emergent cases, such as cardiac arrest, airway management is of paramount importance, and there are very few contraindications to orotracheal intubation. Unstable . . . . View Video
Chapters:
Overview
Indications
Contraindications
Equipment
Preparation
Orotracheal Intubation
Confirmation
Securing the Tube
Complications
References
Lutes M, Hopson LR. Tracheal intubation. In: Roberts JR, Hedges JR, ed. Clinical procedures in emergency medicine. 4th ed. Philadelphia: Saunders, 2004:69-99.
Schneider RE. Basic airway management. In: Walls RM, ed. Manual of emergency airway management. Philadelphia: Lippincott Williams & Wilkins, 2000:43-57.
Walls RM. Rapid sequence intubation. In: Walls RM, ed. Manual of emergency airway management. Philadelphia: Lippincott Williams & Wilkins, 2000:8-15.
Walls RM. Confirmation of endotracheal tube placement. In: Walls RM, ed. Manual of emergency airway management. Philadelphia: Lippincott Williams & Wilkins, 2000:8-15.
Related Letters:
Video on Orotracheal Intubation
Rincón D. A., Kheterpal S., Mashour G. A., Srinivasa V., Kodali B. S., Hoftman N., Kabrhel C., Thomsen T. W., Walls R.
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N Engl J Med 2007;
357:619-621, Aug 9, 2007.
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