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6 Cards in this Set
- Front
- Back
What are some advantages of of Oral Intubation?
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Easier, safer & more comfortable insertion;
larger tube tolerated; easier suctioning; less Raw, Decreased WOB, |
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What are some disadvantages of Oral Intubation?
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Greater risk of gagging, vomitting and aspiration; anesthetically displeasing, especially long term;
greater risk of self extubation; greater risk of mainstem intubation; tube occlusion from biting; injury to lips, teeth, tongue, palate & oral soft tissues; |
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What are some of the advantages of nasal intubation?
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less gagging & vomitting;
Greater comfort for long term; less salivation; improved ability to swallow oral secretions; improved communication; improved mouth/oral carel; no occlusion from biting; easier nursing care less posterior laryngeal ulceration; better tube anchoring, less chance of self extubation; reduced risk of mainstem intubation; |
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What are some disadvantages of nasal intubation?
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pain & discomfort especially w/inadequate prep;
nasal and paranasal complications (epititis, sinusitis, otitis); more difficult to perform; smaller tube is necessary; harder to suction; increased Raw; increased WOB; difficult to use bronchoscope; |
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What are some advantages of a tracheotomy?
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no laryngeal & upper airway complications of translaryngeal intubation;
more comfortable; aids feeding, oral care, suctioning & speech; pschological benefit easier passage of bronchoscope easier to reinsert; aesthetically more pleasing facilitation of weining of MV; No risk of mainstem intubation; reduced WOB better anchoring (reduced risk of decannulation); improved mobility |
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What are some disadvantages of a tracheotomy?
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more expensive
need OR need general anesthesia permanent scar more severe complications greater mortality rate delayed decannulation; higher frequency of aspiration higher bacterial colonization rate persistant open stoma after decannulation, reducing the ability to cough; |