Induction

Question 1

What is the purpose of intubation? (4)

Answer 1

To…
1. Administer inhalation anesthetic drugs
2. Ensure a patient airway in unconscious animals
3. Administer O2
4. Provide ventilatory assistance

Question 2

The distal end of an ET tube shouldn’t extend past the point of the ____ and the proximal end should not extend pas the ____ teeth.

Answer 2

1. Shoulder
2. Incisor teeth

Question 3

Name the parts

Answer 3

Question 4

Steps to place an ET tube (6)

Answer 4

1. Select ET tube
2. Premeasure length & diameter
3. Check inflation of cuff
4. Check cleanliness of tube
5. Lube end of tube with small amount of sterile lube
6. Position patient, commonly sternal recumbency

Question 5

Steps when actively placing ET tube (5)

Answer 5

1. Place mouth gag in place (lidocaine if needed)
2. Gently pull Pt tongue out with gauze pad
3. Depress epiglottis with the tip of laryngoscope blade or ET tube.
4. Pass ET tube thru glottis & into trachea until tip of tube us midway between larynx & thoracic inlet.
5. Tie ET tube into place with gauze

Question 6

Three ways to confirm ET tube is in place

Answer 6

1. Look for condensation in tube
2. Visually confirm
3. Auscult both sides of the chest for breath sounds

Question 7

Extubation you need to wait until ___ have returned. The most important one is ___ ___.

Answer 7

1. Reflexes
2. Swallow reflex

Question 8

Some considerations when extubating (2)

Answer 8

1. Brachycephalics may take longer to extubate
2. Material in the tube
   - Head lower than body when extubating
   - Drain material
   - Suction
   - Reintubate
   - Prevent aspiration! This could lead to pneumonia