ICU nasotracheal intubation airway management status.docVIP

 PAGE \* MERGEFORMAT 18 ICU nasotracheal intubation airway management status [Keywords:] intubation nasal intubation airway management ICU patients because the treatment requires early establishment of artificial airway, ensure the smooth airway rescue and recovery is an important part of success, in order to race against time to rescue a golden opportunity to win, endotracheal intubation is an important measure to achieve this guarantee [1]. Directly oral intubation laryngoscope to facilitate the timely, but because of trauma is high, difficult to accept the patient awake, nursing difficulties, retention time is short, and easy to fall off and other shortcomings, and nasal intubation can avoid these shortcomings. now after ICU nasal intubation airway management status are summarized below. First, the location of the management of tracheal intubation Endotracheal intubation in emergency situations are usually inserted by a doctor, nurse should always check and determine whether the endotracheal tube in place. Catheter insertion depth should be appropriate, too shallow easily emerge, then the top too deep to affect ventilation in the carina, and even into the side of the bronchial (often into the right bronchus). tracheal intubation tracheal tube insertion depth than the end of the glottis, the general adult 4 cm, children 2 cm [2]. also reported that [3] the open position of endotracheal intubation should be carina on the 1 ~ 3 cm. Cheng Yan Ning [4] reported that the depth of adult nasal intubation in 22 ~ 26 cm, tube length can also press the tragus to 2 times the nostrils. also bedside X-ray to help determine the location, but conditions, can not save patients each bedside X-ray positioning. I think that based on clinical experience of tracheal tube inserted, symmetrical breath sound auscultation lungs, consistent with observed fluctuations double the thorax , indicating the depth of intubation is appropriate. Nurses should measure the length of