
Tech tracheal intubation: a patient stowed on the back, introducing laringoskopa blade in his mouth (leaving the language left of the blade) and under the supervision of his move to the base epiglottis (curved blade end enters between the roots of language and epiglottis, straight blade and taking lifts epiglottis). Then, trying not to pressure on the patient's teeth, give epiglottis Above, shifted in the direction of blade laringoskopa up to the patient's legs, while in the field of view is the voice crack. Under the supervision of a crack in the voice introducing intubatsionnuyu tube, promoting its end in the trachea at 5-7 cm, followed that inflatable cuff fled for voice bundle. Laringoskop removed, in a test tube doing expiratory breath, to see her in the right position, then connect it to the apparatus. Sign of falling intubatsionnoy esophagus is a tube in the absence of visible movements of chest and respiratory noise while inhaling, exaggerating the stomach while continuing attempts to artificial lung ventilation.
Please check in the right position to the tube, to fix her head to avoid falling sick or slip into the respiratory tract, leading to lumen off bronchitis (usually the left). To avoid perezhataya sick tube teeth in his mouth impose rasporku (folded gauze doily 3-4 cm in diameter, Air-Ducts), which is fixed to intubatsionnoy tube.
Artificial pulmonary ventilation APV hold one of the available methods. Optimal use special devices for automatic or manual APV (suitable for anaesthesia machines, all kinds of respirators, including portable). In the absence of vehicles APV spend expiratory way.
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