Intubation and Mechanical Ventilation
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Damage to teeth, lips, or tongue
- Damage to trachea (windpipe), resulting in pain, hoarseness, and sometimes difficulty breathing after the tube is removed
- Esophageal intubation (when the tube is accidentally inserted into the esophagus and stomach rather than the trachea)
- Low blood pressure
- Lung injury
- Neck or cervical spine injury
- Pre-existing lung disease (such as emphysema)
- Poor condition of teeth
- Recent meal
What to Expect
Prior to Procedure
- The night before, eat a light meal. Do not eat or drink anything after midnight.
- Ask your doctor about any other special directions.
Description of the Procedure
Immediately After Procedure
- Do a chest x-ray to make sure the tip of the tube is positioned in the middle of your trachea
- Listen to your lungs to make sure that the air is going into them
- Measure the level of gases in your blood to make sure that the ventilation is working
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Be breathing on your own through the tube, without the ventilator attached. You may only be partially awake during this time.
Have a satisfactory score on the Weaning Index, which measures:
- How often you take a breath
- How well oxygen is getting into your blood
- How much air you breathe in and out each time you take a breath
- If you need mechanical ventilation for more than a few weeks, a tracheotomy may be done. In this case, the airway tube is inserted through a hole made in your neck instead of your mouth or nose.
Call Your Doctor
- Difficulty breathing
- Develop a cough
- Signs of infection, like fever or chills
- A tendency to breathe in your food or drink
- Musical sounds when you breathe (called stridor)
American Lung Association http://www.lungusa.org
Asthma and Allergy Foundation of America http://www.aafa.org
The Canadian Lung Association http://www.lung.ca
Health Canada http://www.hc-sc.gc.ca/index-eng.php
Beers, MH, Fletcher AJ, Jones TV, et al. The Merck Manual of Medical Information. 2nd ed. Whitehouse Station, NJ: Merck Research Laboratories; 2003.
Kasper DL, Harrison TR. Harrison’s Principles of Internal Medicine. 16th ed. New York, NY: McGraw-Hill; 2005.
Mason RJ. Murray and Nadel's Textbook of Respiratory Medicine. 4th ed. Philadelphia, PA: WB Saunders; 2005.
Mechanical ventilation. Anaesthesia & Intensive Care website. Available at: http://www.aic.cuhk.edu.hk/web8/mech%20vent%20intro.htm. Updated May 2009. Accessed July 28, 2009.
Roberts JR. Clinical Procedures in Emergency Medicine. 4th ed. Philadelphia, PA: WB Saunders; 2004.
6/3/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Marcin Chwistek, MD
- Review Date: 09/2012 -
- Update Date: 00/93/2012 -