Endo - Prefixes indicating within, inner, absorbing, or containing
Tracheal - Anatomical area of the human body, the trachea. also called the windpipe.
You have a patient with a GCS of 7, their respirations are agonal and oxygen saturation is 84%. First rule for anyone in the medical field is to get oxygen back into the is person’s body and fast. One of the common ways in the field and the Emergency room are to place what they call an Endotracheal tube.
The cartilage in your neck, more predominant on men as the “Adams apple,” this is called the thyroid cartilage. It houses your vocal cords and is the immediate opening of the airway. When you look down into a patient’s throat, using a MAC or MIL blade, you will be looking for the epiglottis (the little flap that covers the airway when you swallow food. Then you’ll look for the vocal cords.
The ET tube will have to slide past this to be able to work properly. Once you are confident in your placement and have followed your steps to secure it, you will test it. Some people forget that to auscultate the stomach, listening for gurgling sounds is the first thing you do when pushing air. This means you put it in the esophagus and that is BAD! If that happens, You can pull back tube and try again.
Auscultation of lung sounds bilaterally will be important, to make sure you haven’t slipped the tube past the carina and into one of the bronchioles. Secure the airway and maintain. Remember to always document.
This is just a brief overview. I have place advanced airway techniques video under as a better reference. Remember though, airway is one of the top priorities in the medical field. Without air, it only takes about 4 minutes to cause severe brain damage.