Fisdap Airway Management Questions and Answers Rated A+

Potential effects of orotracheal intubation. Secure airway, Protection against aspiration. Bleeding, hypoxia laryngeal swelling, laryngospasms, vocal cord, mucosal necrosis, barotrauma. Potential effects of moving an intubated patient. With a firmly secured tube the tip of the ET tube can move as much as 2 inches with head flexion and extension; with hyperflexion the tube can be pulled from the trachea completely. Hyperextension can cause the ET tube to be pushed further into the trachea. Consider C-collar to keep the head in neutral position. When to exubate a patient? Patients are rarely extubated in the prehospital setting. The only reason to consider extubation is if the patient is extremely intolerant of it or the ET tube is placed incorrectly. (Extremely combative, gagging or retching). It is typically safer to sedate the patient rather than extubate. Before performing field extubation, you should contact medical control or follow local protocols.