How To Insert a Breathing Tube

  • Print this article

A breathing tube, also called an endotracheal tube, is inserted into a person's airway in a procedure referred to as intubation. A patient will need to be intubated before being placed on a mechanical ventilator to assist with breathing or to maintain an open airway. Although a breathing tube can be inserted through the nose, according to the National Institute of Health, it most often is inserted through the mouth. Proper procedure to insert a breathing tube is essential to provide adequate ventilation to the patient.

Things You'll Need

  • Laryngoscope
  • Stylet
  • 10 millimeter syringe
  • Tape
  • Endotracheal tube
Show More

Instructions

    • 1

      Check the equipment to determine if it's functioning correctly. Extend the laryngoscope handle and ensure the light bulb works. Attach a 10 millimeter syringe to the cuff on the endotracheal tube, and pull back on the plunger and than push the plunger back in to be sure the cuff inflates; deflate the cuff prior to intubation.

    • 2

      Put a stylet into the endotracheal tube. The stylet helps the tube become more rigid for insertion.

    • 3

      Position the patient's head into the sniffing position. Lift up on the chin while pushing slightly down on the forehead to help open the airway.

    • 4

      Use a bag-mask ventilation device to give oxygen prior to intubation. Place the mask over the patient's mouth and nose, hold firmly and squeeze the bag for eight breaths.

    • 5

      Place the laryngoscope into the patient's mouth above the tongue and lift straight up to view the larynx. Once the larynx is spotted, look for the vocal cords.

    • 6

      Insert the endotracheal tube through the mouth and in through the vocal cords. According the University of Virginia Health System, the tube should be inserted about one centimeter past the vocal cords.

    • 7

      Take the sylet out of the tube and remove the laryngoscope from the patient's mouth. Attach the syringe to the cuff on the tube and inflate it with about eight millimeters of air. Secure the tube with tape.

Tips & Warnings

  • Confirm proper tube placement with a chest x-ray. Watch the chest for rise and fall and listen for equal breath sounds on both sides. An end-tidal carbon dioxide detector can also be placed on the end of an endotracheal tube to detect exhaled carbon dioxide.

  • Possible complications which can occur when inserting a breathing tube include bleeding and damage to the vocal cord or trachea.

  • Avoid putting any force on the teeth during insertion of the breathing tube. This could fracture the teeth.

Related Searches

References

You May Also Like

  • What Is a Trach Tube?

    How To Insert a Breathing Tube; Infant Trach Care; How Does a Medical Respirator Work? You May Also Like. How to Track...

  • How to Insert a Feeding Tube

    You May Also Like. How To Insert a Breathing Tube. A breathing tube, also called an endotracheal tube, is inserted into a...

  • Why Are Chest Tubes Used?

    Doctors may insert a chest tube if the lungs are unable to function because of excess air or fluid in the pleura....

  • How to Insert a Tube for Colon Cleansing

    How to Insert a Tube for Colon Cleansing. Cleanse your colon of acid, ... How To Insert a Breathing Tube. A breathing...

  • Intubation Procedures for Respiratory Therapists

    Intubation is a procedure involving the insertion of an endotracheal tube from the mouth to the airway to assist in breathing. The...

  • What Is a Fenestrated Trach Tube?

    How To Insert a Breathing Tube. A breathing tube, also called an endotracheal tube, is inserted into a person's airway in a...

  • What Is Orogastric Tube Feeding?

    It is easier to insert an oro-gastric feeding tube than a naso-gastric tube and the tube is more easily ... A breathing...

  • Instructions for How to Use a Laryngoscope

    How To Insert a Breathing Tube. A breathing tube, also called an endotracheal tube, ...

  • How to Insert a Nasal Cannula

    A nasal cannula is plastic tube that attaches to an oxygen tank and is inserted into the user's nose. A nasal cannula...

  • Laryngoscope Medical Procedures

    Your doctor will then insert a flexible fiber-optic tube through one of your nostrils and down into your throat. ... A breathing...

  • Breathing Facts

    Breathing Facts. Breathing is a constant, ... These smaller tubes connect to the 600 million alveoli, tiny sacs in the lungs with...

  • Alcohol Toxicity Emergency Treatment

    It may be necessary to insert a breathing tube in your airway and connect it to a respirator because you may stop...

  • How to Palpate a Stoma

    A stoma eliminates the use of the mouth and nose during breathing. Permanent tube insertion is used to assist breathing after surgery...

  • Spirometer Exercises

    Spirometer exercises are the medical term for breathing exercises that help prevent respiratory problems or keep them ... The tube is marked...

  • How to Apply Suction to a Fenestrated Trach Tube

    A fenestrated tracheostomy allows you to breath through your mouth and nose, gives you the ability to talk ... and a tracheostomy...

  • What Are the Causes of Tracheal Edema?

    Doctors administer rocuronium injections to relax the muscles of the throat and neck so they can more easily insert tracheal breathing tubes......

  • How to Use a Breathing Machine

    Plug the air tube into the nebulizer and put the medicine in the reservoir located in the tube. Some medicines come premixed...

  • How to Anesthetize a Cat

    Cats need to be anesthetized for a variety of procedures that wouldn't warrant sedation in humans. ... Insert the endotracheal tube and...

  • What Does a Paramedic Do?

    ... insert breathing tubes or do the other advanced medical treatments that a paramedic can do. ... What Do Paramedics Do When...

  • How to Use a Suction Device in an EMS Setting

    ... through the nose or down an endotracheal tube. This catheter is also a good choice to suction stomas. ... Insert the...

Related Ads

Featured
View Mobile Site