Explain intubation and ventilation, Biology

Assignment Help:

Explain Intubation and Ventilation ?

If supplemental oxygen therapy or non-invasive ventilation do not help, the next step would be to intubate and commence mechanical ventilation. The decision to intubate is made primarily on clinical grounds, but broad guidelines may be as below: Indications for Intubation and Ventilation

Breathlessness, tachypnoea with respiratory rate more than 30/mt

Use of accessory muscles

Tachycardia

Hypoxia - PO2 less than 60 mm of Hg while on maximal oxygen therapy

Hypercarbia

Respiratory muscle weakness - Polyneuropathy, myasthenia, etc.

Agitation, restlessness due to difficulty in breathing/ hypoxia

Inability to maintain airway, cough and clear secretions

Altered sensorium

Intubation can be carried out in most situations after a short IV anaesthetic and a rapid onset muscle relaxant ( see protocol). Hypovolemic patients tolerate anesthetic drugs and positive pressure ventilation poorly, hence a fluid bolus prior to intubation may be required. Blood pressure may drop subsequent to intubation and mechanical ventilation, this may require more fluid resuscitation or inotrope/vasopressor support.

 


Related Discussions:- Explain intubation and ventilation

Types of transport process in sieve tubes, Types of Transport Process in Si...

Types of Transport Process in Sieve Tubes The metabolites of all the mesophyll cells around the sieve elements join in a common pool to load via the surrounding transfer cells

What is subphylum crustacea and subphylum uniramia, What is Subphylum Crust...

What is Subphylum Crustacea and Subphylum Uniramia? The Arthropoda are usually grouped into four subgroupings called subphyla (singular-subphylum). One of these four subphyla -

What is intracellular digestion, Intracellular digestion, or cellular diges...

Intracellular digestion, or cellular digestion, is the breaking in the interior of the cell of big molecules coming from outside or even from the own cell metabolism into smaller m

Homework, why do ecological models commonly have limited applications?

why do ecological models commonly have limited applications?

Sample titration - estimation of vitamin c in chillies, Define Sample Titra...

Define Sample Titration - estimation of vitamin c in chillies? Take a clean and dry large chilli and weigh it. Note the weight of the chilli. Grind the chilli to a fine paste i

Enzyme synthesis, Enzyme Synthesis Nitrate assimilating system in gene...

Enzyme Synthesis Nitrate assimilating system in general is known to show increase in nitrate uptake system and nitrate reductase system in the presence of nitrate. In other wo

Algae, What is the basis of classification of algae

What is the basis of classification of algae

Raw material for industry - impacts on biodiversity, Raw Material for Indus...

Raw Material for Industry - impacts on biodiversity The industry, producing goods and services, relies and impacts on biodiversity directly. Much of the raw material that goes

Why does the ingestion of vegetable fibers improve the bowel, Why does the ...

Why does the ingestion of vegetable fibers improve the bowel habit in people that suffer from hard stools? Some types of plant fibers are not absorbed by the intestine but play

Explain the principles of isolated soybean proteins, Principles of Isolated...

Principles of Isolated soybean proteins The basic principles of ISP production are simple. Soybean protein isolates are obtained by selective solubilisation of  the protein (e.

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd