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- Oct 22, 2020-

Indications and contraindications for endotracheal intubation

Oral endotracheal intubation

(1) Patients who require longer-term mechanical ventilation due to severe hypoxemia and/or hyperCO2emia, or other reasons, and do not consider tracheostomy.

(2) Those who cannot clear upper respiratory secretions, gastric reflux and bleeding by themselves, and are at risk of aspiration at any time. 

(3) Upper respiratory tract injury, stenosis, obstruction, trachea and esophagus leakage, etc. that affect normal ventilation.

(4) Excessive lower respiratory tract secretions or bleeding requiring repeated suction.

(5) For those who need to repeatedly insert the bronchoscope in a short time due to the needs of diagnosis and treatment, in order to reduce the patient's pain and convenient operation, tracheal intubation can also be performed in advance.

(6) The patient suddenly stops breathing spontaneously and establishes an artificial airway for mechanical ventilation. 

(7) Surgical operations and anesthesia, such as operations that require long-term anesthesia, hypothermic anesthesia, and controlled hypotension operations, some intraoral operations to prevent bloody secretions from obstructing the airway, positions for special operations, etc. 

(8) Patients who require mechanical ventilation and cannot wear a mask due to facial trauma.

Indications and contraindications for endotracheal intubation