Thursday, 13 April 2017

Complications OF INTUBATION

1.    throughout the procedure
●    Failed intubation with lack of airway and hypoxia
●    Regurgitation / vomiting and aspiration
●    Oesophageal intubation causing gastric distension or oesophageal trauma
●    proper foremost bronchus intubation with atelectasis of left lung and hypoxia
●    Trauma
¤    airway trauma eg dental harm, haemorrhage, vocal cord damage
¤    pneumothorax
¤    pneumomediastinum
¤    cervical damage or exacerbation thereof
¤    dislocation of mandible
●    headaches of the drugs administered :
             
¤
Thiopentone
-  hypotension
-    histamine release
¤
Suxamethonium
-  raised intracranial, intragastric and intraocular pressure
-  histamine release
-  hyperkalaemia in patients with burns, spinal injuries
-  bradycardia in infants


2.         even as tube is in region

whilst tube is in area
●    Tube obstruction/kinking
●    Tube displacement both into oesophagus or into right fundamental bronchus
●    Barotrauma with pneumothorax
●    Aspiration

essential factors
1.    constantly hold a nicely organized crash trolley.
2.    make certain that earlier than intubation the group of workers, the equipment and the affected person are organized as a lot as time permits.
3.    test all gadget before taking off.
4.    If hypoxia occurs, assume tube malfunction or malposition first. If unsure, extubate, ventilate, re-oxygenate and re-intubate with a sparkling tube.

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