Canis ISSN: 2398-2942

Endotracheal intubation

Contributor(s): Sheilah Robertson, Marieke de Vries

Introduction

  • Placing a tube in the trachea:
    • Ensures that airways remain patent in unconscious animals.
    • Prevents inhalation of substances (blood, saliva, stomach contents, etc).
    • Allows administration of oxygen and anesthetic gases.
    • Allows closed anesthetic circuit with no atmospheric pollution.

Uses

  • Providing supplementary oxygen.
  • Manual ventilation of patient in respiratory failure.
  • Maintenance of anesthesia with volatile anesthetic.
  • Prevention of aspiration during:
    • Oropharyngeal surgery.
    • Dentistry.
    • Gastric lavage Gastric lavage.
    • High risk of vomiting or regurgitation:
      • Esophageal obstruction.
      • Ileus.
      • Unfasted patients.

Advantages

  • Safe if carried out correctly.
  • Simple and requires only equipment usually found in veterinary practice.
  • Effective.
  • Cheap.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Wiederstein I & Moens Y P S (2008) Guidelines and criteria for the placement of laryngeal mask airways in dogs. Vet Anaesth Analg 35 (5), 374-382 PubMed.
  • Brown C (2007) Endotracheal intubation in the dog. Lab Anim (NY) 36 (2), 23-24 PubMed.

Other sources of information

  • Hughes L (2016) Breathing systems and ancillary equipment. In: BSAVA Manual of Canine and Feline Anaesthesia and Analgesia. 3rd edn. Duke-Novakovski T, De Vries M, Seymour C J. Chapter 5.


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