No, a nasopharyngeal airway should not be used in a patient with an endotracheal tube in place. The endotracheal tube already secures the airway and provides ventilation, making the use of a nasopharyngeal airway unnecessary and potentially harmful. Introducing a nasopharyngeal airway could cause trauma to the airway or displace the endotracheal tube.
The removal of an endotracheal tube is called extubation. It is a procedure performed once a patient no longer requires mechanical ventilation and is able to breathe on their own. It is done carefully to prevent complications such as airway obstruction or respiratory distress.
Indications include airway maintenance, airway suctioning, and preventing biting of an endotracheal tube. These are almost always used in unconscious patients. Contraindications include a conscious patient, a foreign object blocking the airway, and a present gag reflex.
Airway adjunct that is a plastic tube with a flange on the end passed through the nostrils into your airway, so you can be ventilated if you have stopped breathing and access is limited via the mouth, for example in facial trauma. The nasopharyngeal airway is used if there are complications to having a patent airway.
endotracheal
"Endotracheal" refers to something located or occurring inside the trachea, which is the windpipe that carries air to and from the lungs. An endotracheal tube is a flexible plastic tube inserted through the mouth or nose into the trachea to help maintain an open airway or to provide mechanical ventilation.
To cut a nasopharyngeal airway tube, first ensure you have the correct size for the patient. Use sterile scissors to trim the tube to the desired length, typically about 1-2 cm longer than the distance from the nostril to the tragus of the ear. Make a clean, straight cut to avoid any sharp edges that could cause irritation or injury. Always check the cut end for smoothness before use and ensure the tube remains sterile.
High pressure alarm on a ventilator can be caused by factors such as kinked tubing, secretions blocking the airway, patient coughing or biting on the endotracheal tube, or increased resistance in the airway due to bronchospasm. It can also be triggered by the ventilator delivering too much volume or pressure to the patient.
Either an oropharyngeal tube or an endotracheal tube if available and you have the training, otherwise use the 'head tilt, chin lift' method to sustain the airway.
Suction lumen, Balloon, delivery lumen, airway suction port, gas delivery port
lubricate the outside of the tube with a water-based lubricant
No, a person cannot smell with an endotracheal tube in place. An endotracheal tube is inserted into the trachea to maintain an open airway and facilitate ventilation, bypassing the nasal passages where smell detection occurs. Since the olfactory receptors, responsible for the sense of smell, are located in the nasal cavity, the presence of the tube obstructs the normal pathway for scent molecules to reach these receptors.
An endotracheal tube (ETT) is generally intended for short-term use, typically up to 7-14 days. If prolonged airway management is needed beyond this period, a tracheostomy should be considered to reduce complications such as airway injury, infection, and difficulty in secretion management. The decision to transition to a tracheostomy also depends on the patient's overall condition and the expected duration of mechanical ventilation.