Complications OF INTUBATION



1.    throughout the procedure

●    Failed intubation with lack of airway and hypoxia

●    Regurgitation / vomiting and aspiration

●    Oesophageal intubation causing gastric distension or oesophageal trauma

●    proper foremost bronchus intubation with atelectasis of left lung and hypoxia

●    Trauma

¤    airway trauma eg dental harm, haemorrhage, vocal cord damage

¤    pneumothorax

¤    pneumomediastinum

¤    cervical damage or exacerbation thereof

¤    dislocation of mandible

●    headaches of the drugs administered :

●             

¤

Thiopentone

-  hypotension

-    histamine release

¤

Suxamethonium

-  raised intracranial, intragastric and intraocular pressure

-  histamine release

-  hyperkalaemia in patients with burns, spinal injuries

-  bradycardia in infants



2.         even as tube is in region


whilst tube is in area

●    Tube obstruction/kinking

●    Tube displacement both into oesophagus or into right fundamental bronchus

●    Barotrauma with pneumothorax

●    Aspiration


essential factors

1.    constantly hold a nicely organized crash trolley.

2.    make certain that earlier than intubation the group of workers, the equipment and the affected person are organized as a lot as time permits.

3.    test all gadget before taking off.

4.    If hypoxia occurs, assume tube malfunction or malposition first. If unsure, extubate, ventilate, re-oxygenate and re-intubate with a sparkling tube.


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