Endotracheal Securement: Comprehensive Guide by BandB Medical
Welcome to the ultimate guide for mastering endotracheal securement! Whether you’re a seasoned medical professional or just starting your journey in the field, this comprehensive guide by B&B Medical is here to equip you with all the essential knowledge and skills. We understand that securing an endotracheal tube can be challenging, but fret not – we’ve got you covered. From exploring different techniques and materials to troubleshooting common issues, this blog post will walk you through everything you need to know. Get ready to elevate your practice and ensure optimal patient care as we dive into the art of mastering endotracheal securement!
What is Endotracheal Securement?
Endotracheal Securement (ETS) is the process of securing a patient’s airway during cardiopulmonary resuscitation (CPR) and emergency medical services (EMS) by either using an artificial airway or maintaining manual compression of the pharyngeal region. The use of an artificial airway, such as a laryngeal mask airway (LMA), nasopharyngeal airway (NPA), or endotracheal tube (ET), allows for effective ventilation and oxygenation while preventing aspiration and death from uncontrolled apnea. ETS can be performed manually by placing one hand over the back of the patient’s neck and the other around their chest, or with the use of a mechanical device, such as an automated External Defibrillator Endotracheal Tube Driver.
The American Heart Association recommends that all patients receiving CPR receive ETS, regardless of age, weight, or sex. Additionally, ETS should be considered in patients who are not candidates for traditional mechanical ventilation due to factors such as obesity or comorbidities such as heart failure. Manual compression may also be used in conjunction with ETS in certain situations, such as when using a LMA in children under the age of 12 months or pregnant women.
History of Endotracheal Securement
Endotracheal Securement (ETS) is a life-saving procedure used to prevent airway obstruction in patients who are unable to breathe on their own. ETS is accomplished by placing an artificial airway, or endotracheal tube, into the patient’s windpipe and securing it in place with straps.
The history of ETS begins with early attempts to develop a safe and effective method of breathing for people who were unable to do so on their own. The first attempt was made in 1857, when Dr. John Snow developed a method of using an ice pack to reduce inflammation in the lungs of people who were suffering from cholera. This early development led to the use of mechanical ventilation, which was first used in 1922 to help treat respiratory illness in soldiers during World War I.
In 1947, Drs. Karl Herrick and Samuel Auerbach developed the first successful artificial airway – the Herrick-Auerbach device – which became widely used during surgery. The introduction of this device helped pave the way for the development of ETS as we know it today.
In 1951, Drs. Herrick and Auerbach developed the first successful ETS technique – tracheotomy with an endotracheal tube – which became widely used during surgery. The success of this technique paved the way for the development of ETS as we know it today.
Since its inception, ETS has been improved upon Numerous times,
Types of Endotracheal Securement Devices
Endotracheal securement devices are a life-saving necessity for patients who are intubated. The devices help maintain a patent airway, provide support during ventilation and reduce the risk of aspiration. There are three types of endotracheal securement devices: cervical collar, laryngeal mask airway and nasogastric tube. Each has its own benefits and drawbacks, so it’s important to choose the right device for your patient.
Cervical Collar
A cervical collar is a collar worn around the neck that holds the head and neck in a fixed position during intubation. It’s most commonly used in infants and children, but can also be used in adults when other methods of securing the airway fail. The cervical collar can cause discomfort and can pull on the cords that run along the neck, leading to headaches or spinal cord compression. It’s not recommended for use in patients with significant respiratory distress or if there’s any suspicion of paralysis down below the neck due to head or spinal cord injury.
Laryngeal Mask Airway
A laryngeal mask airway (LMA) is a breathing device that uses an elastic mask to cover most of the face. It’s inserted into the windpipe through the nose and connected to an air compressor outside of the body, which keeps oxygen flowing into the lungs while preventing dust, dirt and other particles from entering through the mouth and nose. The LMA is most commonly
How is Endotracheal Securement Performed?
Endotracheal Securement is a critically important process to ensure patient safety during medical procedures. The goal of this securement is to prevent the airway from collapsing, which can lead to life-threatening complications.
There are many different methods for securing an endotracheal tube (ET), but the most common is with a laryngoscope and ET tube. The laryngoscope blade is inserted into the mouth and down the throat, until it rests on the hyoid bone. The ET tube is then placed over the laryngoscope blade, through the opening in your throat, and into your lungs. This technique prevents your airway from collapsing while you are under anesthesia and helps maintain oxygen levels in your blood while you are undergoing surgery or other medical procedures.
In order to perform effective endotracheal securement, it is important to have accurate placement of the ET tube. If the ET tube is not positioned correctly, it may become dislodged during surgery or during transport between facilities. In addition, improper placement of the ET tube can increase your risk of complications such as aspiration pneumonia (a condition caused by inhaling food or liquid that has been swallowed), tracheobronchitis (inflammation of your windpipe due to infection), and even death.
To ensure correct placement of the ET tube, it is important to have a well-trained healthcare provider who has experience with using this securement technique. Additionally, proper
Devices used for Endotracheal Securement
Endotracheal Securement Devices
There are a variety of devices used for endotracheal securement but the following four are most commonly used: collar, endotracheal tube, laryngoscope and mask.
The collar is a tight-fitting piece of fabric that is placed around the patient’s neck and fastened with straps or buckles. The endotracheal tube is inserted through the mouth and down the throat into the airway. The laryngoscope is inserted through the nose and used to view the airway and remove debris. The mask is a protective device that covers most of the face.
Advantages and Disadvantages of Endotracheal Securement
Endotracheal Securement (ET) continues to be the gold standard for intubation and ventilation in the critically ill. There are many reasons why ET is so successful, including its ability to provide secure ventilation and protection from aspiration. However, ET also has some disadvantages that should be considered before selecting this approach.
The primary disadvantage of ET is its high cost. This expense can be mitigated by using a variety of techniques, such as using a self-inflating device or employing two assistants to help secure the airway. Another disadvantage of ET is that it can be difficult to get an adequate seal with the endotracheal tube over the windpipe, which can lead to air leakage and difficulty breathing. ET may not be appropriate for all patients; certain patients, such as those with severe obesity or those who are pregnant, may not tolerate the tight fit of the endotracheal tube.
Conclusion
Endotracheal Securement (EST) is a life-saving technique that can be used for patients with respiratory problems in both the intensive care unit (ICU) and general hospital settings. In this comprehensive guide, B&B Medical offers step-by-step instructions on how to perform EST safely and effectively. The guide provides detailed information on tools and techniques needed for EST, as well as reminders about when to use each method. Whether you are a newbie paramedic or an experienced ICU nurse, this guide will provide you with the knowledge you need to carry out EST in an effective and safe manner.