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Canine Endotracheal Intubation

Views: 26002 - Comments: 17

Kristin Spring, CVT, VTS (ECC, Anes.), explains endotracheal tube selection, intubation, and how to check proper endotracheal tube placement.

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Kristin Spring's picture
Kristin Spring

CVT CVPP, VTS(Anes.), VTS(ECC)

Enrolled: 08/2011

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Comments

Amanda Rieder's picture

Really happy about the way it was explained. A little bothered by the tech pulling out her cell phone and checking it :(

Megan Brashear's picture

Hi Amanda, sometimes we just can't get away from our cell phones... While not a normal occurrence during procedures, the cell phone looker was our surgeon and she was checking the surgery calendar for the rest of the day before she got scrubbed up. Sometimes they really are a necessary evil! But good catch, we all had to watch it over again to pick up on that!

Morgan VanFleet's picture

Would you be able to post the pictures from the end of the video separately? They keep getting cut off and they're absolutely fabulous photos-I want to show them to the vet students down here in El Salvador!

Cecilie M. Bull's picture

Thank you for this great video! Really easy to understand and see what you are doing. I have never intubated before (not a tech yet, just vet. assistant, going on 5 months) but I love to be prepared and to know and understand what other people around me are doing!

Shelly Spain's picture

I was hoping for a reminder to open the pop-off valve after checking for leaks/proper placement!
Great video over all.

Rachel Bassett's picture

Great video! I think it may be helpful to discuss use of the O2 flush valve when patient is attached to breathing system. Depending on O2 source, could be delivering 60-70L/min which could result in barotrauma. Also recommending bagging patient up to 20 cm H20 when evaluating for ET tube leak. Thanks so much for making great teaching tools!

Caroline Tanner's picture

What exactly are you listening for testing the proper inflation of the cuff? The pop off valve is closed and you are flushing while inflating the cuff? Do you just wait until you cant hear any other more hissing past the cuff so you know when to stop inflating?

Megan Brashear's picture

That's right Caroline. With the pop-off valve closed you squeeze the bag  to 15-20cm/H2O and slowly inflate the cuff until you can no longer hear air leaking around it. In almost all cases, if a small amount of air leaks at 20cm/H20 that is a good goal to have, it ensures you aren't inflating the cuff too much causing tracheal damage.

Julia Simms's picture

Can you tell me how you all store your endotracheal tubes? It looks like you gas sterilize them after each use. Do you have a cut off for how many times they are resterilized before you no longer use them? We are trying to come up with a new protocol for our specialty hospital and currently keep our tubes in drawers divided by size. They are cleaned after each use but not resterilized. Any input you have would be greatly appreciated!

Megan Brashear's picture

Hi Julia, while we do keep a few gas sterilized ET tubes for enditracheal washes and patients with fragile immune systems, most of our tubes are cleaned and dried by hand we just place the clean tubes into individual pouches and keep them unsealed. We write the tube size on the packet and it keeps the tubes from getting tangled and keeps them cleaner while we wait to use them.

Katie Brakenhoff's picture

Thanks for the video! Would have been nice to see your assistant take over that tongue and free up your other hand for better technique. And perhaps mentioning the option to confirm placement with an ETCO2 reading, having your surgivet so available ;)