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TMB RESPIRATORY CARE SERVICES PROCEDURE Pediatric/Neonatal IntubationPolicyPediatric/Neonatal IntubationEffective: Revised:Formulated: 10/05/92Page7.3.44 1 of 5 11/01/94 10/30/14Neonatal Intubation
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01
Ensure that all necessary equipment is assembled and ready before beginning the procedure. This includes an appropriately sized endotracheal tube, laryngoscope, stylet, suction catheter, and bag-mask ventilation device.
02
Position the patient in the optimal position for intubation, which is usually with the head in a sniffing position. Place a towel roll or shoulder roll under the shoulders to achieve proper positioning.
03
Administer preoxygenation and establish intravenous access, if necessary. Preoxygenation involves providing high-flow oxygen to the patient for several minutes using a mask or nasal cannula.
04
Administer an appropriate induction agent and neuromuscular blockade, if indicated, to facilitate intubation. The choice of induction agent and neuromuscular blockade will depend on the patient's age, weight, and clinical condition.
05
Use the laryngoscope to visualize the vocal cords. Gently insert the laryngoscope blade into the patient's mouth and sweep the tongue to the side to obtain a clear view of the larynx.
06
Once the vocal cords are visualized, carefully pass the endotracheal tube through the vocal cords into the trachea. Use the stylet, if necessary, to aid in tube placement.
07
Confirm proper tube placement by assessing bilateral chest rise and breath sounds, monitoring end-tidal CO2, and obtaining a chest X-ray confirmation.
08
Secure the endotracheal tube in place using appropriate methods such as tape or tube holders. Ensure that the tube is secured but not too tight to prevent movement or accidental extubation.

Who needs procedure - pediatricneonatal intubation?

01
Neonates or infants who are unable to maintain adequate oxygenation or ventilation through non-invasive means may require intubation. This can be due to various medical conditions such as respiratory distress syndrome, meconium aspiration, or congenital heart defects.
02
Pediatric patients with severe respiratory conditions such as asthma exacerbation, severe pneumonia, or upper airway obstruction may also require intubation for airway management and support.
03
In emergency situations, pediatric or neonatal patients who have experienced cardiac arrest or respiratory failure may require intubation to establish and maintain a patent airway and provide ventilation.
It is important to note that the decision to perform pediatricneonatal intubation should be made by a trained healthcare professional, such as a pediatrician or neonatologist, who has the necessary skills and experience in airway management.
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Pediatricneonatal intubation is a medical procedure where a tube is inserted into the trachea of a pediatric or neonatal patient to help with breathing.
Medical professionals such as doctors, nurses, or respiratory therapists who perform the procedure are required to file it.
The procedure - pediatricneonatal intubation should be filled out with details such as patient information, date and time of procedure, equipment used, and any complications encountered.
The purpose of the procedure is to ensure proper oxygenation and ventilation in pediatric and neonatal patients who are unable to breathe adequately on their own.
Information such as patient demographics, procedure details, any medications administered, and post-procedure monitoring must be reported.
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