Page 2264 - Cote clinical veterinary advisor dogs and cats 4th

Intubation, Endotracheal 1123.e9

○ Auscultation of good breath sounds bilater-
ally during positive-pressure ventilation
VetBooks.ir exhaled gases and evidence of normal
○ Detection of carbon dioxide in animal’s
capnographic tracing
Postprocedure
• Extubate when animal’s oral/pharyngeal
reflexes have returned.
• In brachycephalic animals, endotracheal tube
should be left in place as long as possible
during recovery.
• In animals undergoing procedures associated
with accumulation of blood/fluid in oral
cavity, cuff may be left partially inflated
during extubation. Procedures and Techniques
Alternatives and Their
Relative Merits
INTUBATION, ENDOTRACHEAL Intubation of an anesthetized dog. An assistant extends the dog’s neck
and retracts the lips. The right-handed clinician is holding a laryngoscope and the dog’s tongue in the left hand Tracheostomy or pharyngostomy: oral approach
and is placing the endotracheal tube using the right hand. preferred in routine cases (no tissue trauma and
technically simple to perform)
RELATED CLIENT EDUCATION
is reached in breathing system, while listening ○ Palpation of single tubular structure
for sound of leaking air exiting oral cavity in cervical region (as opposed to SHEET
around tube. Incrementally inflate cuff on two tubes, representing an intubated Consent to Perform General Anesthesia
tube using an air syringe until sound of leak esophagus alongside a trachea that is not
is terminated. Avoid cuff overinflation, and intubated) AUTHOR: Leigh A. Lamont, DVM, MS, DACVAA
remember to open pop-off valve after cuff ○ Movement of reservoir bag corresponding EDITORS: Leah A. Cohn, DVM, PhD, DACVIM; Mark S.
is inflated. to thoracic wall movements associated Thompson, DVM, DABVP
• Correct tube placement may be confirmed with animal inspiration/expiration
by

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