Difference between revisions of "Endotracheal Tube"
From Gomerpedia
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[[File:Endotracheal tube colored.png|450px|thumb|right]] | [[File:Endotracheal tube colored.png|450px|thumb|right]] | ||
| − | An '''endotracheal tube''' is a specially-designed catheter that is inserted into the trachea via the nose or mouth for the primary purpose of suppressing a cough and secondary purpose of securing a patient airway.<ref>[http://gomerblog.com/2017/04/cough-suppressant-endotracheal-tube/ Study: The Most Effective Cough Suppressant is an Endotracheal Tube (Gomerblog)]</ref> If the '''endotracheal tube''', is found in another patient orifice - ear canal, rectum, and urethra are some examples - consider the consequence of a tired health care professional.<ref>[http://gomerblog.com/2015/08/critical-care-fellow/ Tired Critical Care Fellow Accidentally Intubates Patient’s Rectum (Gomerblog)]</ref>ref>[http://gomerblog.com/2017/05/intubates-ear-canal/ Tired Anesthesiologist Accidentally Intubates Patient’s Ear Canal (Gomerblog)]</ref> | + | An '''endotracheal tube''' is a specially-designed catheter that is inserted into the trachea via the nose or mouth for the primary purpose of suppressing a cough and secondary purpose of securing a patient airway.<ref>[http://gomerblog.com/2017/04/cough-suppressant-endotracheal-tube/ Study: The Most Effective Cough Suppressant is an Endotracheal Tube (Gomerblog)]</ref> If the '''endotracheal tube''', is found in another patient orifice - ear canal, rectum, and urethra are some examples - consider the consequence of a tired health care professional.<ref>[http://gomerblog.com/2015/08/critical-care-fellow/ Tired Critical Care Fellow Accidentally Intubates Patient’s Rectum (Gomerblog)]</ref><ref>[http://gomerblog.com/2017/05/intubates-ear-canal/ Tired Anesthesiologist Accidentally Intubates Patient’s Ear Canal (Gomerblog)]</ref> |
'''Construction''' | '''Construction''' | ||
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| − | Most '''endotracheal tubes''' are made of polyvinyl chloride, but there are other tubes made with [[Bacon|bacon]] or [[Lard|lard]] to help improve [[Patient Satisfaction Survey|patient satisfaction scores]]. All tubes, though, have an inflatable cuff, not only to prevent air leakage but also to ensure a | + | Most '''endotracheal tubes''' are made of polyvinyl chloride, but there are other tubes made with [[Bacon|bacon]] or [[Lard|lard]] to help improve [[Patient Satisfaction Survey|patient satisfaction scores]]. All tubes, though, have an inflatable cuff, not only to prevent air leakage but also to ensure a bloody mess when the patient self-extubates.<ref>[http://gomerblog.com/2015/06/icu-physician/ ICU Physician Unveils New Self-Extubation Order Set (Gomerblog)]</ref> Though 99% of '''endotracheal tubes''' currently in use are of the nonmusical variety, a new company called Party-Goof is turning heads with their musical '''endotracheal tubes''' to brighten an otherwise dismal ICU setting. Early experience with these has been nothing short of positive, with many highly-approving of the "Womp womp womp waahhhhhh” sound emitted at the time of a dying patient's terminal extubation.<<ref>[http://gomerblog.com/2017/07/musical-endotracheal-tubes/ Musical Endotracheal Tubes Brighten Up ICU (Gomerblog)]</ref> |
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#Inability to stop coughing | #Inability to stop coughing | ||
| − | #Inability to protect the airway when pronouncing polysyllabic medications | + | #Inability to protect the airway when pronouncing polysyllabic medications<ref>[http://gomerblog.com/2016/04/patient-cant-pronounce-metoprolol-intubated/ Patient Can’t Pronounce Metoprolol, Electively Intubated (Gomerblog)]</ref> |
| − | #Failure to stop talking | + | #Failure to stop talking<ref>[http://gomerblog.com/2016/04/tense-standoff-as-nurse-doctor-held-hostage-by-patients-neverending-talking/ Nurse & Doctor Held Hostage by Patient Who Keeps Talking (Gomerblog)]</ref><ref>[http://gomerblog.com/2017/01/damn-krebs-cycle/ Med Student Wastes Dying Patient’s Last Moments on Earth Talking About Damn Krebs Cycle (Gomerblog)]</ref> |
#Health care professional forgot to eat<ref>[http://gomerblog.com/2013/08/eats-for-free/ Doctor Orders Food Trays for Intubated Patients, Eats for Free (Gomerblog)]</ref> | #Health care professional forgot to eat<ref>[http://gomerblog.com/2013/08/eats-for-free/ Doctor Orders Food Trays for Intubated Patients, Eats for Free (Gomerblog)]</ref> | ||
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| + | '''Removal''' | ||
| + | ---- | ||
| + | Easy: send to the radiology department.<ref>[http://gomerblog.com/2014/08/radiology/ Tip: If You Need to Extubate Patient, Send to Radiology (Gomerblog)]</ref> | ||
Revision as of 11:35, 3 July 2017
An endotracheal tube is a specially-designed catheter that is inserted into the trachea via the nose or mouth for the primary purpose of suppressing a cough and secondary purpose of securing a patient airway.[1] If the endotracheal tube, is found in another patient orifice - ear canal, rectum, and urethra are some examples - consider the consequence of a tired health care professional.[2][3]
Construction
Most endotracheal tubes are made of polyvinyl chloride, but there are other tubes made with bacon or lard to help improve patient satisfaction scores. All tubes, though, have an inflatable cuff, not only to prevent air leakage but also to ensure a bloody mess when the patient self-extubates.[4] Though 99% of endotracheal tubes currently in use are of the nonmusical variety, a new company called Party-Goof is turning heads with their musical endotracheal tubes to brighten an otherwise dismal ICU setting. Early experience with these has been nothing short of positive, with many highly-approving of the "Womp womp womp waahhhhhh” sound emitted at the time of a dying patient's terminal extubation.<[5]
Indications for an Endotracheal Tube
- Inability to stop coughing
- Inability to protect the airway when pronouncing polysyllabic medications[6]
- Failure to stop talking[7][8]
- Health care professional forgot to eat[9]
Removal
Easy: send to the radiology department.[10]
Related Reading
- COPD
- SOB
References
- ↑ Study: The Most Effective Cough Suppressant is an Endotracheal Tube (Gomerblog)
- ↑ Tired Critical Care Fellow Accidentally Intubates Patient’s Rectum (Gomerblog)
- ↑ Tired Anesthesiologist Accidentally Intubates Patient’s Ear Canal (Gomerblog)
- ↑ ICU Physician Unveils New Self-Extubation Order Set (Gomerblog)
- ↑ Musical Endotracheal Tubes Brighten Up ICU (Gomerblog)
- ↑ Patient Can’t Pronounce Metoprolol, Electively Intubated (Gomerblog)
- ↑ Nurse & Doctor Held Hostage by Patient Who Keeps Talking (Gomerblog)
- ↑ Med Student Wastes Dying Patient’s Last Moments on Earth Talking About Damn Krebs Cycle (Gomerblog)
- ↑ Doctor Orders Food Trays for Intubated Patients, Eats for Free (Gomerblog)
- ↑ Tip: If You Need to Extubate Patient, Send to Radiology (Gomerblog)
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Fun Stuff
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