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When is endotracheal intubation necessary? How long can endotracheal intubation be extubation?

Endotracheal intubation is a tube used in the trachea, through the mouth or nasal cavity, through the glottis into the trachea or bronchus. Endotracheal intubation provides effective conditions for keeping airway unobstructed, providing oxygen for ventilation and preventing aspiration. Tracheal intubation is an important measure to rescue patients with respiratory dysfunction, which is widely used in clinical treatment.

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When is endotracheal intubation necessary?
1) Spontaneous respiration of the patient suddenly stopped, and artificial airway was urgently established for mechanical ventilation and treatment;

2) Severe respiratory failure, unable to meet the needs of ventilation and oxygen supply of the body, requiring mechanical ventilation;

3) Unable to clear upper respiratory secretions, gastric contents reflux or bleeding, may be aspiration at any time;

4) Upper respiratory tract injury, stenosis, obstruction, tracheoesophageal fistula and other factors affect normal ventilation;

5) The need for anaesthesia surgery;

 

How long can endotracheal intubation be extubation?
Endotracheal intubation is usually extubed after 3 to 7 days, but no more than two weeks. Because the lower end of endotracheal intubation is a balloon, after inserting into the throat, the balloon should be inflated to support in the throat, which may cause damage to the throat mucosa. After a long time, the throat will be oppressed by ischemia, and even lead to necrosis. This time is generally about 10 days to 2 weeks. The nasal mucosa can also be damaged if the tube is inserted through the nose.


Post time: Nov-24-2022