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Orotracheal Intubation VS Endotracheal Intubation

Aug 30, 2023 Ultrassist

"Orotracheal intubation" and "endotracheal intubation" are often used interchangeably and actually refer to the same procedure: the insertion of a tube into the trachea (windpipe) to secure the airway and facilitate mechanical ventilation. The difference in terminology is not based on the location of insertion, but rather on the emphasis of the tube's placement within the trachea itself.

Let's explore these terms in more detail:

Orotracheal Intubation:

  • Orotracheal intubation involves the insertion of an endotracheal tube through the patient's mouth and into the trachea to secure the airway.
  • This method is commonly used in emergency situations when rapid airway control is necessary, such as during cardiac arrest or severe respiratory distress.
  • Orotracheal intubation is performed by passing the tube through the mouth and guiding it into the trachea while visualizing the vocal cords.

Refer to: How to Do Orotracheal Intubation Using Laryngoscopy

Endotracheal Intubation:

  • Endotracheal intubation refers to the insertion of an endotracheal tube directly into the trachea, regardless of whether it is done through the mouth or the nose.
  • The term "endotracheal" signifies that the tube is positioned within the trachea itself.
  • Endotracheal intubation is a broader term that encompasses both oral (through the mouth) and nasal (through the nose) routes of insertion.

For better understanding and administering the Orotracheal intubation and endotracheal intubation techniques, there is a great way, practicing than seeing. 

Endotracheal(ET) Intubation Training with Infant Manikin

To clarify, there are no distinct differences between "orotracheal intubation" and "endotracheal intubation". Both terms describe the same procedure, and the choice of terminology can vary based on medical literature, regional practices, and personal preferences of healthcare professionals. The important aspect to understand is that during this procedure, a tube is placed within the trachea to establish a secure airway in patients who are unable to breathe adequately on their own or require mechanical ventilation.

 

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