Praktikum Keperawatan Intubasi Suction dan Ekstubasi

Summary

This video demonstrates the procedure of intubation, suctioning, and extubation in a medical setting. It covers the preparation of sterilized tools, including a suction set, intubation tube, and other necessary equipment. The process involves examining the patient’s airway, inserting the laryngoscope, and measuring the tube for proper placement. After the procedure, the medical team checks the placement and performs suctioning as needed. The video concludes with the extubation process, ensuring the patient’s comfort and providing post-procedure care instructions.

Takeaways

• 🩺 The script demonstrates a complete nursing practicum covering airway management: intubation, suctioning, and extubation.
• 🧼 Proper preparation of equipment is emphasized, including sterile suction sets, endotracheal tubes, laryngoscope, NaCl, ambu bag, OPA, and PPE.
• 🤝 The nurse introduces herself, verifies patient identity, explains the procedure, and obtains patient consent before starting.
• 🧠 Airway assessment is performed first to check for obstructions using standard techniques and to rule out cervical spine injury.
• ✋ Correct hand hygiene and proper use of clean and sterile gloves are highlighted before each critical step.
• 🔦 Laryngoscope handling technique is shown, including left-hand use and proper insertion to visualize the airway.
• 📏 Accurate measurement of endotracheal tube depth is done using anatomical landmarks (earlobe to mouth) to ensure correct placement.
• 💨 The cuff of the endotracheal tube is inflated with an appropriate volume of air to secure the airway.
• 🫁 Tube placement is confirmed by auscultating lung fields and checking the gastric area to avoid esophageal intubation.
• 🪢 The tube is properly secured to prevent displacement, followed by continuous evaluation of patient comfort and airway patency.
• 🧽 Suctioning is performed systematically (right nostril, left nostril, mouth) using sterile technique to remove secretions.
• 🔄 Extubation is carried out carefully by deflating the cuff first, removing airway adjuncts according to anatomy, and reassessing patient comfort afterward.

Q & A

What is the purpose of intubation in this procedure?

The purpose of intubation in this procedure is to assist the patient with breathing and ensure that their airway remains clear and unobstructed.

What is suctioning used for in this procedure?

Suctioning is used to remove any secretions or vomit from the patient's airway to ensure it stays clear and prevent choking or airway blockage.

Why is NaCl used during this procedure?

NaCl (saline solution) is used to clean the patient's airway and rinse any secretions or contaminants that may be present.

What steps are involved in performing intubation?

Intubation involves checking for airway obstruction, inserting a laryngoscope to visualize the airway, measuring the correct tube size, inserting the endotracheal tube, inflating the balloon, and securing the tube in place.

What is the role of the laryngoscope in this procedure?

The laryngoscope is used to visualize the patient's airway and help guide the endotracheal tube into the correct position for proper intubation.

How do you determine the appropriate size for the intubation tube?

The appropriate size of the intubation tube is determined by measuring the distance from the patient's earlobe to the mouth, typically around 7 cm in this case.

What does 'OPA' refer to, and how is it used in this context?

OPA refers to the Oropharyngeal Airway. It is inserted to maintain an open airway in the patient and prevent the tongue from obstructing the airway during the intubation procedure.

What happens after the intubation tube is inserted?

After the tube is inserted, air is pumped into the balloon to secure the tube in place, and the position is checked by observing the patient's breathing and confirming the placement with a stethoscope.

What is the process of extubation, and when is it done?

Extubation is the process of removing the endotracheal tube after the procedure is completed. It is done once the patient no longer requires mechanical assistance to breathe and when the tube is no longer needed.

Why is the balloon inflated with 30cc of air before extubation?

The balloon is inflated with 30cc of air to secure the endotracheal tube in place during the procedure. Before extubation, the balloon is deflated to allow for safe removal of the tube without damaging the patient's airway.